Provider Demographics
NPI:1134381569
Name:NWOJO, SAMUEL EZERA
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:EZERA
Last Name:NWOJO
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 1:17631 BARTON POINT LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-2481
Mailing Address - Country:US
Mailing Address - Phone:281-277-9252
Mailing Address - Fax:281-840-6424
Practice Address - Street 1:17631 BARTON POINT LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-2481
Practice Address - Country:US
Practice Address - Phone:281-277-9252
Practice Address - Fax:281-840-6424
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker