Provider Demographics
NPI:1740426394
Name:NWADINOBI, ANTHONIA UCHE
Entity Type:Individual
Prefix:MRS
First Name:ANTHONIA
Middle Name:UCHE
Last Name:NWADINOBI
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 1:6315 LITTLE MURRAY LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4879
Mailing Address - Country:US
Mailing Address - Phone:281-250-0332
Mailing Address - Fax:
Practice Address - Street 1:6315 LITTLE MURRAY LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4879
Practice Address - Country:US
Practice Address - Phone:281-250-0332
Practice Address - Fax:713-497-5375
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-04
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32090000X320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities