Provider Demographics
NPI:1700505179
Name:ONYENEKWE, OLUCHI CONSTANCE
Entity Type:Individual
Prefix:
First Name:OLUCHI
Middle Name:CONSTANCE
Last Name:ONYENEKWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2662 SKYVIEW DOWNS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-6822
Mailing Address - Country:US
Mailing Address - Phone:832-767-1897
Mailing Address - Fax:
Practice Address - Street 1:2662 SKYVIEW DOWNS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-6822
Practice Address - Country:US
Practice Address - Phone:832-436-7527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program