Provider Demographics
NPI:1295787018
Name:PETER ONYEWUENYI
Entity type:Organization
Organization Name:PETER ONYEWUENYI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:UCHENNA
Authorized Official - Last Name:ONYEWUENYI
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:713-774-2790
Mailing Address - Street 1:10333 HARWIN DR
Mailing Address - Street 2:SUITE 415
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-1542
Mailing Address - Country:US
Mailing Address - Phone:713-774-2790
Mailing Address - Fax:713-774-2912
Practice Address - Street 1:10333 HARWIN DR
Practice Address - Street 2:SUITE 415
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1542
Practice Address - Country:US
Practice Address - Phone:713-774-2790
Practice Address - Fax:713-774-2912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008411251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health