Provider Demographics
NPI:1992037055
Name:MUOLOKWU, ENYIOMA ANULI (MD)
Entity Type:Individual
Prefix:DR
First Name:ENYIOMA
Middle Name:ANULI
Last Name:MUOLOKWU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ENYIOMA
Other - Middle Name:ANULI
Other - Last Name:ONWUDIEGWU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:2510 W GRAND PKWY N
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2853
Practice Address - Country:US
Practice Address - Phone:713-442-4222
Practice Address - Fax:713-442-4285
Is Sole Proprietor?:No
Enumeration Date:2010-02-01
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2678207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN2678OtherMEDICAL LIC
TXR0172937OtherDPS
TX285943101Medicaid
TX285943101Medicaid