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Organization

OLUCHI OZUMBA MD PA

Active
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Organization

OLUCHI OZUMBA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE CLARKE-SMITH (ASSISTANT)
(214) 536-4818
Entity
Organization

Contact information

Practice address
601 S CLY ST, SUITE 104, ENNIS, TX 75119
(844) 330-0900
(214) 594-9744
Mailing address
752 N MAIN ST UNIT 1386, MANSFIELD, TX 76063-3293
(844) 330-0900
(214) 594-9744

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—

Other

Enumeration date
11/14/2019
Last updated
11/14/2019
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