Chinwendu Chinwuba

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHINWENDU CHINWUBA

Practice address

2123 Yorktown CT S
League City, TX 77573-5061

Phone

(832) 932-5545

NPI assigned

Oct 13, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Chinwendu Chinwuba

Title

Administrator

Phone

(832) 932-5545

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1790060440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 YORKTOWN CT S",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 YORKTOWN CT S",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735061",
            "telephone_number": "832-932-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINWENDU CHINWUBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "CHINWUBA",
        "authorized_official_first_name": "CHINWENDU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-932-5545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123456789",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.