Organization
OLUCHI OZUMBA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CLARKE-SMITH (ASSISTANT)
(214) 536-4818
Entity
Organization
Contact information
Practice address
601 S CLY ST, SUITE 104, ENNIS, TX 75119
(844) 330-0900
(214) 594-9744
Mailing address
752 N MAIN ST UNIT 1386, MANSFIELD, TX 76063-3293
(844) 330-0900
(214) 594-9744
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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