Provider Demographics
NPI:1023482981
Name:NWABUEZE, REMIGIUS UMUNNA
Entity type:Individual
Prefix:MR
First Name:REMIGIUS
Middle Name:UMUNNA
Last Name:NWABUEZE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6004 SUNSET KNOLL LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-0220
Mailing Address - Country:US
Mailing Address - Phone:832-674-9200
Mailing Address - Fax:832-674-9200
Practice Address - Street 1:6004 SUNSET KNOLL LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-0220
Practice Address - Country:US
Practice Address - Phone:832-674-9200
Practice Address - Fax:832-674-9200
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA08815958376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX33697687OtherDRIVERS LICENSE