Individual
CHIDINMA OBIAGERI FASELUKA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9898 BISSONNET ST STE 370, HOUSTON, TX 77036-8025
(216) 356-0658
Mailing address
9898 BISSONNET ST STE 370, HOUSTON, TX 77036-8025
(216) 356-0658
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NEW APPLICATION
TX
Enumeration date
01/12/2022
Last updated
01/12/2022
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