| Chinwendu Chinwuba | |
|
2123 Yorktown Ct S League City TX 77573-5061 | |
| (832) 932-5545 | |
| Not Available |
| Full Name | Chinwendu Chinwuba |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2123 Yorktown Ct S, League City, Texas |
| Authorized Official Name and Position | Chinwendu Chinwuba (ADMINISTRATOR) |
| Authorized Official Contact | 8329325545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chinwendu Chinwuba 2123 Yorktown Ct S League City TX 77573-5061 Ph: () - | Chinwendu Chinwuba 2123 Yorktown Ct S League City TX 77573-5061 Ph: (832) 932-5545 |
| NPI Number | 1790060440 |
|---|---|
| Provider Enumeration Date | 10/13/2011 |
| Last Update Date | 04/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790060440 | NPI | - | NPPES |
| 123456789 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Texas) | Primary |
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