Basic Information
| Provider Information | |||||||||
| NPI: | 1316247554 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LONGE | ||||||||
| FirstName: | UCHEOMA | ||||||||
| MiddleName: | NEBECHI | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
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| OtherOrganizationName: | |||||||||
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| OtherLastName: | UNACHUKWU | ||||||||
| OtherFirstName: | UCHEOMA | ||||||||
| OtherMiddleName: | NEBECHI | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 26114 BENT MEADOW CT | ||||||||
| Address2: | |||||||||
| City: | KATY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774944861 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8322884621 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8901 BOONE RD | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770991659 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814540500 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/21/2010 | ||||||||
| LastUpdateDate: | 10/21/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | N7830 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.