Provider Demographics
NPI:1881106185
Name:CINNAP, PLLC
Entity type:Organization
Organization Name:CINNAP, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHINEDU
Authorized Official - Middle Name:I
Authorized Official - Last Name:NWANKWO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-232-2356
Mailing Address - Street 1:12435 N RACHLIN CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2819
Mailing Address - Country:US
Mailing Address - Phone:832-274-6343
Mailing Address - Fax:281-783-2005
Practice Address - Street 1:12435 N RACHLIN CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2819
Practice Address - Country:US
Practice Address - Phone:832-232-2356
Practice Address - Fax:281-783-2005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-27
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9458207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty