Individual
UGOMMA G OGIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5351 ANTOINE DR STE B, HOUSTON, TX 77091-4999
(832) 567-7254
Mailing address
410 ANNES WAY, STAFFORD, TX 77477-5444
(832) 567-7254
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP145275
TX
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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