Provider Demographics
NPI:1760823009
Name:NWUGBANA, IFEOMA CYNTHIA (MD)
Entity Type:Individual
Prefix:
First Name:IFEOMA
Middle Name:CYNTHIA
Last Name:NWUGBANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 RESEARCH FOREST DR STE 130
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4252
Mailing Address - Country:US
Mailing Address - Phone:281-528-4226
Mailing Address - Fax:281-419-0921
Practice Address - Street 1:2700 RESEARCH FOREST DR STE 130
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4252
Practice Address - Country:US
Practice Address - Phone:281-528-4226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXR86312084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program