Provider Demographics
NPI:1932370079
Name:OBI, STELLA NJIDEKA
Entity Type:Individual
Prefix:MRS
First Name:STELLA
Middle Name:NJIDEKA
Last Name:OBI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9873 ALEXA PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-3747
Mailing Address - Country:US
Mailing Address - Phone:210-530-4662
Mailing Address - Fax:210-530-4665
Practice Address - Street 1:9873 ALEXA PL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-3747
Practice Address - Country:US
Practice Address - Phone:210-530-4662
Practice Address - Fax:210-530-4665
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator