Basic Information
| Provider Information | |||||||||
| NPI: | 1093215865 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OBIUDU | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | NWAKEGO | ||||||||
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| Credential: | BA; MSC; LVN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 SURREY LN APT 117 | ||||||||
| Address2: | |||||||||
| City: | FLOWER MOUND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750224145 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5085700128 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8001 S US HIGHWAY 75 | ||||||||
| Address2: | |||||||||
| City: | SHERMAN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750905707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9035321400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/17/2018 | ||||||||
| LastUpdateDate: | 02/17/2018 | ||||||||
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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 | 164W00000X | LN93498 | MA | N | Nursing Service Providers | Licensed Practical Nurse | 164X00000X | 333497 | TX | Y | Nursing Service Providers | Licensed Vocational Nurse |
No ID Information.