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Individual

MR. IHEANYI CHUCK MADUKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
250 BLOSSOM ST STE 120, WEBSTER, TX 77598-4243
(713) 973-7246
(832) 553-1337
Mailing address
250 BLOSSOM ST STE 120, WEBSTER, TX 77598-4243
(713) 973-7246
(832) 553-1337

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06602
TX

Other

Enumeration date
10/25/2010
Last updated
03/17/2018
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