Provider Demographics
NPI:1245246925
Name:UZOAGA, ENYIBUAKU RITA (MD)
Entity type:Individual
Prefix:DR
First Name:ENYIBUAKU
Middle Name:RITA
Last Name:UZOAGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9119 S GESSNER DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2874
Mailing Address - Country:US
Mailing Address - Phone:713-772-5669
Mailing Address - Fax:713-772-5536
Practice Address - Street 1:9119 S GESSNER DR
Practice Address - Street 2:SUITE 305
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2874
Practice Address - Country:US
Practice Address - Phone:713-772-5669
Practice Address - Fax:713-772-5536
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM0297207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BP356OtherBCBS NUMBER ODC
TXM0297OtherMEDICAL LICENSE
TX8BL831OtherBCBS
TX8F22029Medicare PIN