Provider Demographics
NPI:1477350270
Name:KAMAU OFUGARA, MERCY NUNGA (RDN,LD)
Entity type:Individual
Prefix:
First Name:MERCY
Middle Name:NUNGA
Last Name:KAMAU OFUGARA
Suffix:
Gender:F
Credentials:RDN,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 DICKENSON DR
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-0180
Mailing Address - Country:US
Mailing Address - Phone:205-566-5328
Mailing Address - Fax:
Practice Address - Street 1:1105 DICKENSON DR
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-0180
Practice Address - Country:US
Practice Address - Phone:205-566-5328
Practice Address - Fax:205-566-5328
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT91351133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered