Provider Demographics
NPI:1629376421
Name:CHINYERE E. CHUKWUKA
Entity Type:Organization
Organization Name:CHINYERE E. CHUKWUKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHINYERE
Authorized Official - Middle Name:EZINNE
Authorized Official - Last Name:CHUKWUKA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-252-6780
Mailing Address - Street 1:6118 TERRELL HILLS DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6121
Mailing Address - Country:US
Mailing Address - Phone:713-252-6780
Mailing Address - Fax:128-123-2831
Practice Address - Street 1:6118 TERRELL HILLS DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6121
Practice Address - Country:US
Practice Address - Phone:713-252-6780
Practice Address - Fax:128-123-2831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010642251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health