Provider Demographics
NPI:1023317476
Name:ODUNZE, CHIJIOKE KELECHI (MANAGING DIRECTOR)
Entity type:Individual
Prefix:MR
First Name:CHIJIOKE
Middle Name:KELECHI
Last Name:ODUNZE
Suffix:
Gender:M
Credentials:MANAGING DIRECTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 HAYES RD
Mailing Address - Street 2:#402
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2605
Mailing Address - Country:US
Mailing Address - Phone:713-732-2572
Mailing Address - Fax:
Practice Address - Street 1:2909 HAYES RD
Practice Address - Street 2:#402
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2605
Practice Address - Country:US
Practice Address - Phone:713-732-2572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN/A08269319376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide