Provider Demographics
NPI:1922516491
Name:NNAJIOFOR, LOLOCHINYERE FIDELIA (PHD HEALTH SERVICES)
Entity type:Individual
Prefix:DR
First Name:LOLOCHINYERE
Middle Name:FIDELIA
Last Name:NNAJIOFOR
Suffix:
Gender:F
Credentials:PHD HEALTH SERVICES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 PROVIDENCE AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-9395
Mailing Address - Country:US
Mailing Address - Phone:956-570-1763
Mailing Address - Fax:
Practice Address - Street 1:3100 PROVIDENCE AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-9395
Practice Address - Country:US
Practice Address - Phone:956-570-1763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-17
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171W00000X, 172V00000X, 1744R1103X, 1744R1102X, 390200000X
1744R1103X, 373H00000X
TX001022049372500000X
TX001028013372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No171W00000XOther Service ProvidersContractor
No1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/Coder
No172V00000XOther Service ProvidersCommunity Health Worker
No1744R1102XOther Service ProvidersSpecialistResearch Study
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX811832681Medicaid
TX455597717Medicaid