Organization
TROPHY CLUB PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES O ONYEAMA MD (PEDIATRICIAN)
(708) 574-4199
Entity
Organization
Contact information
Practice address
2811 MONA VALE RD, TROPHY CLUB, TX 76262-3479
(708) 574-4199
Mailing address
625 PARKVIEW DRIVE, SUITE 102, TROPHY CLUB, TX 76262-3479
(817) 400-1572
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
08/13/2014
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