Provider Demographics
NPI:1861975740
Name:AKAHIEOBI, AUGUSTINA IJOMA (RN,BSN)
Entity type:Individual
Prefix:
First Name:AUGUSTINA
Middle Name:IJOMA
Last Name:AKAHIEOBI
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:MRS
Other - First Name:AUGUSTINA
Other - Middle Name:ULEKWU
Other - Last Name:BAUGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:19822 SEAGLER GLEN LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4149
Mailing Address - Country:US
Mailing Address - Phone:713-429-5718
Mailing Address - Fax:
Practice Address - Street 1:2424 WILCREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2761
Practice Address - Country:US
Practice Address - Phone:713-666-8287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX835300163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health