Individual
DR. CHIZOBA C. OBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2310 DE LEE ST STE 100, BRYAN, TX 77802-2815
(979) 485-9496
(979) 485-9497
Mailing address
2310 DE LEE ST STE 100, BRYAN, TX 77802-2815
(979) 485-9496
(979) 485-9497
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
P9423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376708222
—
MO
05
—
188674001
—
AR
01
—
1J4970
MEDICARE
TX
05
—
339879412
—
TX
01
—
431560263
TRICARE
MO
01
—
P00985983
RAILROAD MEDICARE
MO
01
—
P02596718
RR MEDICARE
TX
Enumeration date
07/21/2008
Last updated
07/23/2023
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