Provider Demographics
NPI:1497236756
Name:OGBONNAYA, CHINYERE I
Entity Type:Individual
Prefix:
First Name:CHINYERE
Middle Name:I
Last Name:OGBONNAYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17434 GLENMORRIS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1188
Mailing Address - Country:US
Mailing Address - Phone:832-716-7854
Mailing Address - Fax:
Practice Address - Street 1:14950 HEATHROW FOREST PKWY STE 250
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032-3845
Practice Address - Country:US
Practice Address - Phone:281-921-2301
Practice Address - Fax:281-921-2305
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX864823163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse