Theophilus O Chukwueke, m.d.
Ophthalmology in Orange, TX. Individual provider (NPI-1).
NPI number1114000577
StatusActive
Last updated in NPPESNov 1, 2023
Details
- NPI
- 1114000577
- Entity type
- Individual (NPI-1)
- Name
- Theophilus O Chukwueke
- Credential
- m.d.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2006
- Certification date
- Nov 1, 2023
- Last updated
- Nov 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | k6824 | TX | Yes |
Practice location
2801 Macarthur DrSte B
Orange, TX 77630-4703
Phone 409-883-4500
Mailing address
612 S Twin City HwySte B
Nederland, TX 77627-4206
Phone 409-883-4500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.