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Organization
COMPLETE FAMILY PRACTICE & SPORTS MEDICINE, PA
Active
Organization
COMPLETE FAMILY PRACTICE & SPORTS MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OBINNA U CHUKWUOCHA D.O. (MEDICAL DIRECTOR/PRESIDENT)
(214) 319-2900
Entity
Organization
Contact information
Practice address
1151 N BUCKNER BLVD, SUITE 405, DALLAS, TX 75218-3426
(214) 319-2900
Mailing address
1151 N BUCKNER BLVD, SUITE 405, DALLAS, TX 75218-3426
(214) 319-2900
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181705801
—
TX
Enumeration date
05/11/2006
Last updated
01/16/2009
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