Individual
AKPOTU CLEMENT AKPORUMETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
177 THICKET TRL, GRAND PRAIRIE, TX 75052-2454
(469) 441-7955
Mailing address
177 THICKET TRL, GRAND PRAIRIE, TX 75052-2454
(469) 441-7955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10490668
TX
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
10490668
TX
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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