Individual
ONONGAYA CALLY NWANYANWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10209 BLACK HICKORY RD, DALLAS, TX 75243-5101
(214) 724-9449
(469) 330-1477
Mailing address
10209 BLACK HICKORY RD, DALLAS, TX 75243-5101
(214) 724-9449
(469) 330-1477
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP128064
TX
363LG0600X
Gerontology Nurse Practitioner
AP128064
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP128064
TX
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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