Provider Demographics
NPI:1538510987
Name:OBILO, UJU (RN)
Entity Type:Individual
Prefix:
First Name:UJU
Middle Name:
Last Name:OBILO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4034 WHEAT HARVEST LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6739
Mailing Address - Country:US
Mailing Address - Phone:832-437-7882
Mailing Address - Fax:832-913-6470
Practice Address - Street 1:4034 WHEAT HARVEST LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6739
Practice Address - Country:US
Practice Address - Phone:832-881-0312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2019-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF02190491363LF0000X
TX836955163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse