Individual
MR. IKECHUKWU C CHIDOMERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16731 BEECHNUT ST APT 206, HOUSTON, TX 77083-6642
(281) 902-8410
Mailing address
16731 BEECHNUT ST APT 206, HOUSTON, TX 77083-6642
(281) 902-8410
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
U92586271
—
TX
Enumeration date
11/14/2019
Last updated
11/14/2019
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