Provider Demographics
NPI:1821026527
Name:OBI, CHUKWUDI JR
Entity Type:Individual
Prefix:MR
First Name:CHUKWUDI
Middle Name:
Last Name:OBI
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11127 BANDLON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-1907
Mailing Address - Country:US
Mailing Address - Phone:281-933-4113
Mailing Address - Fax:713-728-2230
Practice Address - Street 1:11127 BANDLON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-1907
Practice Address - Country:US
Practice Address - Phone:281-933-4113
Practice Address - Fax:713-728-2230
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor