Organization
THEOPHILUS O. CHUKWUEKE, M.D.,P.A.
Active
Other names
The Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEOPHILUS O CHUKWUEKE M.D. (OWNER)
(409) 724-0794
Entity
Organization
Contact information
Practice address
612 S TWIN CITY HWY, NEDERLAND, TX 77627-4206
(409) 724-0794
(409) 724-7821
Mailing address
612 S TWIN CITY HWY, NEDERLAND, TX 77627-4206
(409) 724-0794
(409) 724-7821
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K6824
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111991901
—
TX
Enumeration date
04/25/2012
Last updated
11/29/2012
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