Provider Demographics
NPI:1093030785
Name:NWEKE, VINCENT U
Entity type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:U
Last Name:NWEKE
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 1:2716 HAZEL ST
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-6352
Mailing Address - Country:US
Mailing Address - Phone:281-993-5223
Mailing Address - Fax:281-993-5223
Practice Address - Street 1:2716 HAZEL ST
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-6352
Practice Address - Country:US
Practice Address - Phone:281-993-5223
Practice Address - Fax:281-993-5223
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care