Provider Demographics
NPI:1588433734
Name:UZOR, EMMANUEL NNAEMEKA
Entity type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:NNAEMEKA
Last Name:UZOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 W RENNER RD APT 2112
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-1354
Mailing Address - Country:US
Mailing Address - Phone:929-536-5153
Mailing Address - Fax:
Practice Address - Street 1:280 W RENNER RD APT 2112
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-1354
Practice Address - Country:US
Practice Address - Phone:929-536-5153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-29
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
347C00000X
TX343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle