Provider Demographics
NPI:1982337747
Name:ONYERA, AGNES ATIM
Entity Type:Individual
Prefix:
First Name:AGNES
Middle Name:ATIM
Last Name:ONYERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SAIMA
Other - Middle Name:ATIM
Other - Last Name:ONYERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15301 NORTHWEST FWY APT 118
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-3010
Mailing Address - Country:US
Mailing Address - Phone:346-282-5514
Mailing Address - Fax:
Practice Address - Street 1:410 S PADRE ISLAND DR STE 103
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-4122
Practice Address - Country:US
Practice Address - Phone:361-881-4788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician