Provider Demographics
NPI:1073368890
Name:UCHENDU, ROSE OBIAGELI
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:OBIAGELI
Last Name:UCHENDU
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 1:13934 CARNCROSS CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1006
Mailing Address - Country:US
Mailing Address - Phone:832-434-2674
Mailing Address - Fax:
Practice Address - Street 1:13934 CARNCROSS CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1006
Practice Address - Country:US
Practice Address - Phone:832-434-2674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1155612207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine