Provider Demographics
NPI:1104312818
Name:GEOFFREY, BENADETH ONYINYECHI
Entity type:Individual
Prefix:
First Name:BENADETH
Middle Name:ONYINYECHI
Last Name:GEOFFREY
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 1:13102 N BELLAIRE ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2390
Mailing Address - Country:US
Mailing Address - Phone:832-206-5421
Mailing Address - Fax:
Practice Address - Street 1:12939 WHITTINGTON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-4755
Practice Address - Country:US
Practice Address - Phone:346-288-9967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX308702164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse