Provider Demographics
NPI:1003249228
Name:CHILAKA, CHIOMA ONYEMECHI (NP)
Entity type:Individual
Prefix:
First Name:CHIOMA
Middle Name:ONYEMECHI
Last Name:CHILAKA
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 1:4645 SWEETWATER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3016
Mailing Address - Country:US
Mailing Address - Phone:281-565-1112
Mailing Address - Fax:713-429-5202
Practice Address - Street 1:4645 SWEETWATER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3016
Practice Address - Country:US
Practice Address - Phone:281-565-1112
Practice Address - Fax:713-429-5202
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142931363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty