Provider Demographics
NPI:1952885238
Name:UWAJEH, EMMANUEL C JR (RN)
Entity Type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:C
Last Name:UWAJEH
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14800 MEMORIAL DR APT 2702
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5221
Mailing Address - Country:US
Mailing Address - Phone:832-606-5424
Mailing Address - Fax:
Practice Address - Street 1:14800 MEMORIAL DR APT 2702
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5221
Practice Address - Country:US
Practice Address - Phone:832-606-5424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX773431163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health