Provider Demographics
NPI:1366907347
Name:ONUWAJE, EYITUOYO OSARO
Entity type:Individual
Prefix:
First Name:EYITUOYO
Middle Name:OSARO
Last Name:ONUWAJE
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 1:9202 HONEY BIRD CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1906
Mailing Address - Country:US
Mailing Address - Phone:713-935-5847
Mailing Address - Fax:
Practice Address - Street 1:9202 HONEY BIRD CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1906
Practice Address - Country:US
Practice Address - Phone:713-935-5847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139919363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner