Provider Demographics
NPI:1336879774
Name:NWORAH, ELVIRA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELVIRA
Middle Name:
Last Name:NWORAH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24630 FOREST HIKER CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2265
Mailing Address - Country:US
Mailing Address - Phone:713-459-6824
Mailing Address - Fax:
Practice Address - Street 1:2550 CITYWEST BLVD STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4084
Practice Address - Country:US
Practice Address - Phone:281-769-4169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX399021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice