Individual
DR. EZIUCHE M NWAKANMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
200 BLOSSOM ST, WEBSTER, TX 77598-4204
(832) 632-6500
(832) 632-6855
Mailing address
11620 190TH ST, SAINT ALBANS, NY 11412-3132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
262978
NY
207P00000X
Emergency Medicine Physician
Primary
T2029
TX
Other
Enumeration date
07/01/2008
Last updated
09/15/2021
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