Individual
CHISOM DAISY NWACHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 E BROAD ST, MANSFIELD, TX 76063-5899
(682) 622-2000
Mailing address
2700 E BROAD ST, MANSFIELD, TX 76063-5899
(682) 622-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P4686
TX
Other
Enumeration date
07/14/2009
Last updated
10/17/2012
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