Provider Demographics
NPI:1730474305
Name:OJUKWU, ADAORA AUGUSTA (NP-C)
Entity Type:Individual
Prefix:
First Name:ADAORA
Middle Name:AUGUSTA
Last Name:OJUKWU
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4237 LAVACA DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3554
Mailing Address - Country:US
Mailing Address - Phone:972-424-8354
Mailing Address - Fax:
Practice Address - Street 1:600 SIX FLAGS DR STE 400
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-6338
Practice Address - Country:US
Practice Address - Phone:817-385-0088
Practice Address - Fax:817-385-0350
Is Sole Proprietor?:No
Enumeration Date:2011-06-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF#0411078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily