Provider Demographics
NPI:1578996138
Name:EWOH, JUSTINA UKAMAKA (APN)
Entity Type:Individual
Prefix:
First Name:JUSTINA
Middle Name:UKAMAKA
Last Name:EWOH
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:JUSTINA
Other - Middle Name:UKAMAKA
Other - Last Name:EWOH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN
Mailing Address - Street 1:6300 HILLCROFT ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3006
Mailing Address - Country:US
Mailing Address - Phone:713-271-8600
Mailing Address - Fax:713-271-8602
Practice Address - Street 1:6300 HILLCROFT ST
Practice Address - Street 2:SUITE 260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3006
Practice Address - Country:US
Practice Address - Phone:713-271-8600
Practice Address - Fax:713-271-8602
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-17
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX753758363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily