Provider Demographics
NPI:1992233811
Name:NNABUIFE, CHUKWUEMEKA CHRISTIAN (MD, DO)
Entity type:Individual
Prefix:DR
First Name:CHUKWUEMEKA
Middle Name:CHRISTIAN
Last Name:NNABUIFE
Suffix:
Gender:
Credentials:MD, DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 PARK GROVE DR STE A
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5591
Mailing Address - Country:US
Mailing Address - Phone:281-256-8685
Mailing Address - Fax:
Practice Address - Street 1:607 PARK GROVE DR STE A
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5591
Practice Address - Country:US
Practice Address - Phone:281-256-8685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-23
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS6906207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS6906OtherMEDICAL LICENSE
1091742415OtherBOARD CERTIFICATION
TXFN9344297OtherDEA