Provider Demographics
NPI:1558182683
Name:GIWA, DOREEN ABLAKWA
Entity type:Individual
Prefix:
First Name:DOREEN
Middle Name:ABLAKWA
Last Name:GIWA
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 1:3310 WINCHESTER RANCH TRL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3644
Mailing Address - Country:US
Mailing Address - Phone:832-682-6386
Mailing Address - Fax:
Practice Address - Street 1:3310 WINCHESTER RANCH TRL
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3644
Practice Address - Country:US
Practice Address - Phone:832-682-6386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX311518174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN