Individual
ONYEKA MICHELLE KEAZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5455 RICHMOND AVE, HOUSTON, TX 77056-6780
(301) 257-6407
Mailing address
5455 RICHMOND AVE, HOUSTON, TX 77056-6780
(301) 257-6407
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R224835
MD
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R224835
REGISTERED NURSING LICENSE
MD
Enumeration date
02/07/2024
Last updated
02/07/2024
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