Provider Demographics
NPI:1962642991
Name:ONWUZURIKE, IJEOMA SALOME
Entity Type:Individual
Prefix:MRS
First Name:IJEOMA
Middle Name:SALOME
Last Name:ONWUZURIKE
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 1:1500 HIGH COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-1840
Mailing Address - Country:US
Mailing Address - Phone:469-348-5312
Mailing Address - Fax:972-727-0733
Practice Address - Street 1:9550 FOREST LN STE 232
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-5905
Practice Address - Country:US
Practice Address - Phone:469-348-5312
Practice Address - Fax:469-640-0100
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP117473363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty