Organization
OBIORA M EKWEANI MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OBIORA M EKWEANI MD (PRESIDENT)
(972) 668-3990
Entity
Organization
Contact information
Practice address
3220 PARKWOOD BLVD, FRISCO, TX 75034
(972) 668-3990
(972) 668-3991
Mailing address
3220 PARKWOOD BLVD, FRISCO, TX 75034
(972) 668-3990
(972) 668-3991
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K9522
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00462W
MEDICARE
TX
05
—
127521620
—
TX
01
—
14985
MEDICAL LICENSE #
MS
05
—
164983201
—
TX
01
—
1780670315
NPI
—
01
—
K9522
TEXAS MEDICAL LICENSE #
TX
Enumeration date
03/16/2007
Last updated
03/15/2018
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