Provider Demographics
NPI:1598929432
Name:ENYIBUAKU RITA UZOAGA
Entity Type:Organization
Organization Name:ENYIBUAKU RITA UZOAGA
Other - Org Name:OXFORD PAIN MANANGEMENT, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ENYIBUAKU
Authorized Official - Middle Name:RITA
Authorized Official - Last Name:UZOAGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-772-5669
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:INGRAM
Mailing Address - State:TX
Mailing Address - Zip Code:78025-0550
Mailing Address - Country:US
Mailing Address - Phone:713-772-5669
Mailing Address - Fax:713-772-5536
Practice Address - Street 1:9119 S GESSNER DR
Practice Address - Street 2:SUITE 305
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2874
Practice Address - Country:US
Practice Address - Phone:713-772-5669
Practice Address - Fax:713-772-5536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6779111N00000X, 111NN0400X, 111NR0400X
TXM0297207Q00000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0057RPOtherBCBS