Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ndubuisi David Odimegwu, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1043702467

Dr. Ndubuisi David Odimegwu, AGNP-C is a Nurse Practitioner in Houston, Texas. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

5530 W Ridgecreek Dr Ste 250
Houston, TX 77053-3536
Phone: (346) 223-2195
Fax: (346) 998-1550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AP137648 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AP137648 (TX)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence AP137648 (TX)

Record details

NPI number1043702467
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESAugust 11, 2024
Certification dateAugust 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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