Provider Demographics
NPI:1528890738
Name:CHIMA, NKECHI OMUGOR
Entity type:Individual
Prefix:
First Name:NKECHI
Middle Name:OMUGOR
Last Name:CHIMA
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 1:6515 GARDEN TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2293
Mailing Address - Country:US
Mailing Address - Phone:281-965-9468
Mailing Address - Fax:
Practice Address - Street 1:6515 GARDEN TRAIL CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2293
Practice Address - Country:US
Practice Address - Phone:281-965-9468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA0008610660372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider