| Gwendoline N Chuba, | |
|
419 Vintage Ln, Brookshire, TX 77423-3172 | |
| (281) 929-9770 | |
| Not Available |
| Full Name | Gwendoline N Chuba |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 419 Vintage Ln, Brookshire, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316432750 | NPI | - | NPPES |
| AP136740 | Other | TX | APRN LICENSE |
| 4032880 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP136740 (Texas) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | AP136740 (Texas) | Primary |
| Entity Name | Unm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Gwendoline N Chuba, 925 S Mason Rd # 147, Katy, TX 77450-3874 Ph: (281) 929-9770 | Gwendoline N Chuba, 419 Vintage Ln, Brookshire, TX 77423-3172 Ph: (281) 929-9770 |
Gloria Williams, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29822 Bellous River Ln, Brookshire, TX 77423 Phone: 713-517-3154 | |
Martha Liliana Mejia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 533 Fm 359 S, Brookshire, TX 77423 Phone: 281-342-4530 | |
Shirley Adaeze Amanfo, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 406 Summerset Ln, Brookshire, TX 77423 Phone: 281-752-6233 Fax: 281-524-8378 | |
Senthilnayaki Kasiraja, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30575 Kingsland Blvd # 150, Brookshire, TX 77423 Phone: 281-717-4674 Fax: 833-318-0533 | |
Sandra Owolabi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3603 Front St, Suite 103, Brookshire, TX 77423 Phone: 281-934-4444 Fax: 281-934-4443 | |
Iolani Mae S Aves, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30575 Kingsland Blvd # 150, Brookshire, TX 77423 Phone: 281-717-4674 Fax: 833-318-0533 |