Provider Demographics
NPI:1972780625
Name:UMENYI, AUGUSTA IFEOMA (NP)
Entity Type:Individual
Prefix:MS
First Name:AUGUSTA
Middle Name:IFEOMA
Last Name:UMENYI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4355 HIGHWAY 6 N
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3446
Mailing Address - Country:US
Mailing Address - Phone:281-858-4000
Mailing Address - Fax:281-858-4001
Practice Address - Street 1:4355 HIGHWAY 6 N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3446
Practice Address - Country:US
Practice Address - Phone:281-858-4000
Practice Address - Fax:281-858-4001
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX650478363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y5047OtherBCBSTX
TX318165YVN3Medicare PIN