Provider Demographics
NPI:1518257724
Name:MBADUGHA, LORETTA NKEIRUKA (PHD)
Entity Type:Individual
Prefix:DR
First Name:LORETTA
Middle Name:NKEIRUKA
Last Name:MBADUGHA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 ROYAL LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-9835
Mailing Address - Country:US
Mailing Address - Phone:832-735-2182
Mailing Address - Fax:832-735-2182
Practice Address - Street 1:606 ROYAL LAKES BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-9835
Practice Address - Country:US
Practice Address - Phone:832-735-2182
Practice Address - Fax:832-735-2182
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-10
Last Update Date:2011-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator