Provider Demographics
NPI:1639615172
Name:UNUIGBE, EHIJELE ERONS (FNP)
Entity Type:Individual
Prefix:
First Name:EHIJELE
Middle Name:ERONS
Last Name:UNUIGBE
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11834 GREEN COLLING PARK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-2550
Mailing Address - Country:US
Mailing Address - Phone:713-204-0604
Mailing Address - Fax:
Practice Address - Street 1:11834 GREEN COLLING PARK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-2550
Practice Address - Country:US
Practice Address - Phone:713-204-0604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132339363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily