MR. Sam Chukwuemeka Ihekwoaba

NPI #1962719385 in Sugar Land, Texas

Provider Information

NPI Number: 1962719385
Entity Type: Individual
Name: MR. Sam Chukwuemeka Ihekwoaba
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 7, 2010
Last Updated: Sep 7, 2010

Practice Location

Address: 13403 ELDRIDGE VILLA ST
City: Sugar Land
State: Texas
ZIP Code: 77498-2282
Phone: (281) 277-5614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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