Provider Demographics
NPI:1831661289
Name:NGOKA, OZIOMA CHINENYE
Entity Type:Individual
Prefix:
First Name:OZIOMA
Middle Name:CHINENYE
Last Name:NGOKA
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 1:12603 NORTHBOROUGH DR APT 2612
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-3222
Mailing Address - Country:US
Mailing Address - Phone:346-202-9348
Mailing Address - Fax:
Practice Address - Street 1:12603 NORTHBOROUGH DR APT 2612
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-3222
Practice Address - Country:US
Practice Address - Phone:346-202-9348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX227389164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse