Provider Demographics
NPI:1891950572
Name:OJIAKU, BONIFACE OFORDUM
Entity type:Individual
Prefix:MR
First Name:BONIFACE
Middle Name:OFORDUM
Last Name:OJIAKU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6511 MARISOL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-1235
Mailing Address - Country:US
Mailing Address - Phone:281-933-7804
Mailing Address - Fax:281-561-7592
Practice Address - Street 1:6511 MARISOL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-1235
Practice Address - Country:US
Practice Address - Phone:281-933-7804
Practice Address - Fax:281-561-7592
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility