Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Uzoma I Ezeuka

Individual provider Ambulatory Care Registered Nurse · NPI 1689122574

Uzoma I Ezeuka is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2016, 10 years ago. Practices with Mallikarjuna Mukka MD PA, a 7-clinician group, works from 2 locations and offers telehealth. Licensed in South Carolina and Texas.

Years since qualifying
10
Licensed in
SC, TX
In the registry since
2016
Specialties on file
3

Practice location Address checks out

6551 Harris Pkwy Ste 110
Fort Worth, TX 76132-6105
Phone: (817) 624-3500
Fax: (682) 708-7225
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1333 Taylor St Ste 6f, Columbia, SC 29201 — (864) 529-1702

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP137572 (TX)
Ambulatory Care Registered Nurse Taxonomy 163WP2201X · Licence 221165 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 20714 (SC)

Record details

NPI number1689122574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2016
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address6551 Harris Pkwy Ste 110, Fort Worth, TX 76132-6105

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mallikarjuna Mukka Md Pa — 7 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services