Organization
ADVANCE FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZINNE BLESSING CHUKWUOCHA NURSE PRACTITIONER (FNP)
(832) 616-6718
Entity
Organization
Contact information
Practice address
5015 LARK CREEK CT, SUGAR LAND, TX 77479-3866
(832) 616-6718
Mailing address
5015 LARK CREEK CT, SUGAR LAND, TX 77479-3866
(832) 616-6718
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
12/23/2021
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