Provider Demographics
NPI:1790443687
Name:ONUKWUBE, EVELYN NGOZI-EMEKA
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:NGOZI-EMEKA
Last Name:ONUKWUBE
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 1:24706 FOREST CANOPY DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-1890
Mailing Address - Country:US
Mailing Address - Phone:832-670-2616
Mailing Address - Fax:
Practice Address - Street 1:24706 FOREST CANOPY DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1890
Practice Address - Country:US
Practice Address - Phone:832-670-2616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58651183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist