Provider Demographics
NPI:1881954790
Name:OHERI, EMMANUEL N/A (N/A)
Entity type:Individual
Prefix:MR
First Name:EMMANUEL
Middle Name:N/A
Last Name:OHERI
Suffix:
Gender:M
Credentials:N/A
Other - Prefix:MR
Other - First Name:EMMANUEL
Other - Middle Name:N/A
Other - Last Name:OHERI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:N/A
Mailing Address - Street 1:12731 CORONA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-4605
Mailing Address - Country:US
Mailing Address - Phone:832-955-5983
Mailing Address - Fax:
Practice Address - Street 1:12731 CORONA LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-4605
Practice Address - Country:US
Practice Address - Phone:832-955-5983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator