Provider Demographics
NPI:1306310214
Name:PIZZAZZ HEALTHCARE SYSTEMS
Entity type:Organization
Organization Name:PIZZAZZ HEALTHCARE SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:BIBIAN
Authorized Official - Middle Name:CHIKERE
Authorized Official - Last Name:ULUOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:832-513-0358
Mailing Address - Street 1:618 WHEELHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5828
Mailing Address - Country:US
Mailing Address - Phone:832-513-0358
Mailing Address - Fax:
Practice Address - Street 1:618 WHEELHOUSE DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5828
Practice Address - Country:US
Practice Address - Phone:832-513-0358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PIZZAZZ HEALTHCARE SYSTEMS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty