Individual
CHUKWUDI CHIBUZO ETONYEAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-FNP
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 441-2076
Mailing address
12834 FRANCES ST, STAFFORD, TX 77477-4504
(281) 690-1479
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP139427
TX
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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