Individual
OBIOMA AUGUSTINE NWULU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9304 FOREST LN STE S100, DALLAS, TX 75243-6238
(469) 349-3388
Mailing address
9304 FOREST LN STE S100, DALLAS, TX 75243-6238
(469) 349-3388
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1029670
TX
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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