Provider Demographics
NPI:1770807836
Name:OJIAKU, CLEMENTINA ELUMA
Entity type:Individual
Prefix:
First Name:CLEMENTINA
Middle Name:ELUMA
Last Name:OJIAKU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CLEMENTINA
Other - Middle Name:ELUMA
Other - Last Name:OJIAKU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6319 ELDRIDGE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5070
Mailing Address - Country:US
Mailing Address - Phone:713-498-8039
Mailing Address - Fax:
Practice Address - Street 1:6319 ELDRIDGE VIEW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5070
Practice Address - Country:US
Practice Address - Phone:713-498-8039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator