Provider Demographics
NPI:1619385374
Name:ONWUCHEKWA, VICTORIA NQOZI
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:NQOZI
Last Name:ONWUCHEKWA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3845 JM 1960 #281
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068
Mailing Address - Country:US
Mailing Address - Phone:713-206-6634
Mailing Address - Fax:281-895-0785
Practice Address - Street 1:3845 JM 1960 #281
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068
Practice Address - Country:US
Practice Address - Phone:713-206-6634
Practice Address - Fax:281-895-0785
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDME1001049332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1001049OtherDME STATE ID# DURABLE MEDICAL EQUIPMENT