Individual
OBINNA MARTIN NWANKWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2664 FINCHWOOD AVE, CLOVIS, CA 93611-8574
(713) 884-9579
Mailing address
6316 LOS BANCOS DR, EL PASO, TX 79912-1857
(713) 884-9579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
872445
TX
163W00000X
Registered Nurse
95159598
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
1011381
TX
367500000X
Certified Registered Nurse Anesthetist
62642
NM
Other
Enumeration date
06/29/2020
Last updated
12/02/2021
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