Provider Demographics
NPI:1891193991
Name:OMEH, THECLAR CHIKA (NP)
Entity Type:Individual
Prefix:
First Name:THECLAR
Middle Name:CHIKA
Last Name:OMEH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:THECLAR
Other - Middle Name:CHIKA
Other - Last Name:ONYEBUCHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2130 CANYON CREST DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-8959
Mailing Address - Country:US
Mailing Address - Phone:713-498-3006
Mailing Address - Fax:
Practice Address - Street 1:6431 FANNIN ST
Practice Address - Street 2:MSB-5. 111
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-6295
Practice Address - Fax:713-500-0706
Is Sole Proprietor?:No
Enumeration Date:2014-12-05
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF07141256363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily