Individual
IKENNA SAMUEL UZOCHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3604 BUDDY OWENS AVE, MCALLEN, TX 78504-5201
(956) 213-8494
(956) 213-8492
Mailing address
2931 LAKE SHORE HARBOUR DR, MISSOURI CITY, TX 77459-7623
(917) 204-1954
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K6377
TX
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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