Provider Demographics
NPI:1710408588
Name:ADVENT PROVIDERS PLLC
Entity Type:Organization
Organization Name:ADVENT PROVIDERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NKECHINYERE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONWUMERE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:713-503-6735
Mailing Address - Street 1:13331 KUYKENDAHL RD STE 128
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-6410
Mailing Address - Country:US
Mailing Address - Phone:832-993-7366
Mailing Address - Fax:
Practice Address - Street 1:13331 KUYKENDAHL RD STE 128
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-6410
Practice Address - Country:US
Practice Address - Phone:832-993-7366
Practice Address - Fax:281-741-4150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-03
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX346904103Medicaid