Provider Demographics
NPI:1932488400
Name:NWOKEM, VITUS CHIDERA
Entity Type:Individual
Prefix:
First Name:VITUS
Middle Name:CHIDERA
Last Name:NWOKEM
Suffix:
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 1:7447 HARWIN DR
Mailing Address - Street 2:SUITE 220C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2020
Mailing Address - Country:US
Mailing Address - Phone:832-533-2366
Mailing Address - Fax:
Practice Address - Street 1:7447 HARWIN DR
Practice Address - Street 2:SUITE 220C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2020
Practice Address - Country:US
Practice Address - Phone:832-533-2366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10005153416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport