Provider Demographics
NPI:1740817683
Name:ILOANYA, EBELECHUKWU N
Entity type:Individual
Prefix:
First Name:EBELECHUKWU
Middle Name:N
Last Name:ILOANYA
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 1:6776 SOUTHWEST FWY STE 102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2100
Mailing Address - Country:US
Mailing Address - Phone:713-962-7844
Mailing Address - Fax:713-782-0508
Practice Address - Street 1:6776 SOUTHWEST FWY STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2100
Practice Address - Country:US
Practice Address - Phone:713-962-7844
Practice Address - Fax:713-782-0508
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide