Ebere Ejim, NURSE

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

312776 Issued in TX

Practice address

2424 Wilcrest Dr Ste 110
Houston, TX 77042-2772

Phone

(713) 666-8287

Fax

(713) 666-8391

NPI assigned

Dec 30, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1154918696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 W BELLFORT AVE APT 712",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994838",
            "telephone_number": "832-282-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 WILCREST DR STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422772",
            "telephone_number": "713-666-8287",
            "fax_number": "713-666-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJIM",
        "first_name": "EBERE",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "312776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chisom Ejekam
• Linda U Ejem, NP
• Ejh Health Transportation Services LLC
• Victoria Nkechi Ejikeme
• Adetoun Adeola Ejilemele, MB.CHB., DABCC
• Cynthia Ann Ejimadu
• Virginia Ejimakor
• Adolphus U Ejiofor Jr.
• Amala Ejiofor
• Benice Ejiogu

• Licensed Vocational Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.