Nwaeze, Ijeoma O
Nwaeze, Ijeoma O is an individual health care provider with primary practice located at 10701 Vintage Preserve Pkwy , Houston TX 77070-2158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Nwaeze, Ijeoma O can be contacted via phone (713) 442-1500.Contact Information
Primary practice address
10701 Vintage Preserve Pkwy
Houston TX 77070-2158
Phone: (713) 442-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | P4898 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | P4898 | Texas |
Profile Details
| NPI number | 1477547826 |
|---|---|
| LBN Legal business name | Nwaeze, Ijeoma O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jun 14th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477547826 | NPPES |
| Texas | MEDICAID | 356834703 | |
| Texas | MEDICAID | 356834702 |
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