Provider Demographics
NPI:1245087758
Name:NJOKU, DOMINIC
Entity type:Individual
Prefix:
First Name:DOMINIC
Middle Name:
Last Name:NJOKU
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 1:9800 CENTRE PKWY STE 612
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8457
Mailing Address - Country:US
Mailing Address - Phone:346-998-5232
Mailing Address - Fax:346-571-0151
Practice Address - Street 1:9800 CENTRE PKWY STE 612
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8457
Practice Address - Country:US
Practice Address - Phone:346-998-5232
Practice Address - Fax:346-571-0151
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)