Oghosa W Ebomwonyi
Nurse Practitioner, Family in Houston, TX. Individual provider (NPI-1).
NPI number1871199752
StatusActive
Last updated in NPPESDec 7, 2020
Details
- NPI
- 1871199752
- Entity type
- Individual (NPI-1)
- Name
- Oghosa W Ebomwonyi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2020
- Certification date
- Dec 7, 2020
- Last updated
- Dec 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP145915 | TX | Yes |
Practice location
17567 Imperial Valley DrHouston, TX 77060-6102
Phone 281-877-0187
Mailing address
17567 Imperial Valley DrHouston, TX 77060-6102
Phone 281-877-0187
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.
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