Individual
DR. JO-ANN O NESIAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
1935 MEDICAL DISTRICT DR, HOSPITAL BASED @ CMC DALLAS, DALLAS, TX 75235-7701
(214) 456-6371
(214) 456-8132
Mailing address
1935 MEDICAL DISTRICT DR, HOSPITAL BASED @ CMC DALLAS, DALLAS, TX 75235-7701
(214) 456-6371
(214) 456-8312
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
L3037
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
48149
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039906262Y
HUMANA
—
05
—
34662400
—
WI
Enumeration date
05/17/2006
Last updated
10/03/2011
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