Provider Demographics
NPI:1942730304
Name:UJARI, OBINNA E
Entity Type:Individual
Prefix:
First Name:OBINNA
Middle Name:E
Last Name:UJARI
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 1:9100 SOUTHWEST FREEWAY
Mailing Address - Street 2:SUITE 206
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074
Mailing Address - Country:US
Mailing Address - Phone:281-948-8303
Mailing Address - Fax:281-974-4226
Practice Address - Street 1:9100 SOUTHWEST FWY STE 206
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1531
Practice Address - Country:US
Practice Address - Phone:281-948-8303
Practice Address - Fax:281-974-4226
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX$$$$$$$$$OtherTO APPLY FOR MEDICAID
TX$$$$$$$$$Medicaid