Provider Demographics
NPI:1649679135
Name:ONWUMERE, NKECHINYERE
Entity type:Individual
Prefix:
First Name:NKECHINYERE
Middle Name:
Last Name:ONWUMERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NKECHI
Other - Middle Name:GRACE
Other - Last Name:ONWUMERE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, FNP-C
Mailing Address - Street 1:13331 KUYKENDAHL RD STE 128
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-6410
Mailing Address - Country:US
Mailing Address - Phone:832-993-7366
Mailing Address - Fax:281-741-4150
Practice Address - Street 1:13331 KUYKENDAHL RD STE 128
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-6410
Practice Address - Country:US
Practice Address - Phone:832-993-7366
Practice Address - Fax:281-741-4150
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-20
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX691937363LF0000X
TXAP126515363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX346904103Medicaid