Individual
KAESIDE CHUKWUDI UNACHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
15500 VOSS ROAD STE 1045, SUGAR LAND, TX 77498-4601
(713) 309-6406
(949) 863-2663
Mailing address
15500 VOSS RD STE 1045, SUGAR LAND, TX 77498-4601
(713) 309-6406
(949) 863-2663
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP144902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407845303
—
TX
Enumeration date
02/01/2020
Last updated
08/03/2022
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