Provider Demographics
NPI:1578810263
Name:OZUMBA, EMEKA N (RN)
Entity Type:Individual
Prefix:
First Name:EMEKA
Middle Name:N
Last Name:OZUMBA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5307 SILVER SAGE LN
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-2375
Mailing Address - Country:US
Mailing Address - Phone:210-782-8811
Mailing Address - Fax:
Practice Address - Street 1:5307 SILVER SAGE LN
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-2375
Practice Address - Country:US
Practice Address - Phone:210-782-8811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX757949163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0500XNursing Service ProvidersRegistered NurseHemodialysis