Provider Demographics
NPI:1740455278
Name:NWOSU, MICHELLE ERUMU (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ERUMU
Last Name:NWOSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7951 KATY FWY STE E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1948
Mailing Address - Country:US
Mailing Address - Phone:346-608-4121
Mailing Address - Fax:877-569-3207
Practice Address - Street 1:7951 KATY FWY STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1948
Practice Address - Country:US
Practice Address - Phone:346-608-4121
Practice Address - Fax:877-569-3207
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1873208000000X, 2084E0001X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084E0001XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyEpilepsy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX339380303Medicaid