Provider Demographics
NPI:1194613745
Name:NWOYE, NORBERT ILOABUCHI (RN)
Entity type:Individual
Prefix:
First Name:NORBERT
Middle Name:ILOABUCHI
Last Name:NWOYE
Suffix:
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 1:3514 GLASSCOCK TRL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-6227
Mailing Address - Country:US
Mailing Address - Phone:917-456-2820
Mailing Address - Fax:
Practice Address - Street 1:SOUTH TEXAS VETERANS HEALTHCARE SYSTEM
Practice Address - Street 2:7400 MERTON MINTER BLVD
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-740-3536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX774249163WA2000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator