Provider Demographics
NPI:1316247554
Name:LONGE, UCHEOMA NEBECHI
Entity type:Individual
Prefix:DR
First Name:UCHEOMA
Middle Name:NEBECHI
Last Name:LONGE
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:UCHEOMA
Other - Middle Name:NEBECHI
Other - Last Name:UNACHUKWU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:26114 BENT MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4861
Mailing Address - Country:US
Mailing Address - Phone:832-288-4621
Mailing Address - Fax:
Practice Address - Street 1:8901 BOONE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1659
Practice Address - Country:US
Practice Address - Phone:281-454-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-21
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7830207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine