Provider Demographics
NPI:1265201511
Name:NWACHUKWU, DOZIE HENRY
Entity type:Individual
Prefix:
First Name:DOZIE
Middle Name:HENRY
Last Name:NWACHUKWU
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 1:21902 MAYBROOK CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6368
Mailing Address - Country:US
Mailing Address - Phone:281-866-5248
Mailing Address - Fax:
Practice Address - Street 1:21902 MAYBROOK CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6368
Practice Address - Country:US
Practice Address - Phone:281-866-5248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver