Provider Demographics
NPI:1477359867
Name:UCHENNA, JOY U
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:U
Last Name:UCHENNA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14906 WESTPARK DR APT 821
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-4952
Mailing Address - Country:US
Mailing Address - Phone:832-994-4093
Mailing Address - Fax:
Practice Address - Street 1:14906 WESTPARK DR APT 821
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-4952
Practice Address - Country:US
Practice Address - Phone:832-994-4093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA00061043265251T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization