Individual ProviderPrincess EzenwaFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address6700 West Loop S, Bellaire, TX 77401-4104(281) 393-4121(704) 649-0027PECOS EnrollmentBased on the most recent information from CMS, provider Princess Ezenwa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1437990926Provider TypeIndividualFull NameEzenwa, PrincessCredentialNPGenderFemaleSole ProprietorNoEnumeration Date6/6/2024Last Updated10/18/2024Contact InformationPractice LocationPractice Address6700 West Loop S, Bellaire, TX 77401-4104Phone(281) 393-4121FaxUnlisted FaxMailing LocationMailing Address8040 Weeping Fig Ln, Charlotte, NC 28215-7118Phone(704) 649-0027FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense1145421Texas