Doctor Name: | MR. CORNELIUS NWOKENAKA |
NPI Number: | 1043395197 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0063812 |
Business Practice Address: | 9888 Bissonnet St Suite 410 Houston, TX - 770368247 |
Business Phone Number: | 7135411667 |
Business Fax Number: | 7135412669 |
Mailing Address: | 9888 Bissonnet St, Suite 410 HOUSTON |
State: | TX |
Postal Code: | 770368247 |
Phone Number: | 7135411667 |
Fax Number: | 7135412669 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0063812 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |