Provider Demographics
NPI:1780846857
Name:OJEVWE, IRIKEFE
Entity type:Individual
Prefix:
First Name:IRIKEFE
Middle Name:
Last Name:OJEVWE
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 1:4743 ARBOR HOLLOW DR STE 240
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-2090
Mailing Address - Country:US
Mailing Address - Phone:302-465-1751
Mailing Address - Fax:
Practice Address - Street 1:3129 KINGSLEY DR STE 2030
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8511
Practice Address - Country:US
Practice Address - Phone:302-465-1751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDE000040520608376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide