Provider Demographics
NPI:1063148195
Name:OSUAGWU, CHINWE LINDA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CHINWE
Middle Name:LINDA
Last Name:OSUAGWU
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17505 TELGE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7217
Mailing Address - Country:US
Mailing Address - Phone:512-736-1121
Mailing Address - Fax:
Practice Address - Street 1:17750 CALI DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2705
Practice Address - Country:US
Practice Address - Phone:512-736-1121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX947531163W00000X
TX1094316363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse