Individual
NKECHI EZIRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
420 E 6TH ST, ODESSA, TX 79761-4517
(432) 582-8757
(432) 582-8757
Mailing address
420 E 6TH ST, ODESSA, TX 79761-4517
(432) 582-8757
(432) 582-8757
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101255661
VA
207V00000X
Obstetrics & Gynecology Physician
125058651
IL
207V00000X
Obstetrics & Gynecology Physician
Q9345
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
Q9345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200752300A
—
OK
05
—
380846101
—
TX
05
—
380846102
—
TX
05
—
73888770
—
NM
Enumeration date
07/01/2012
Last updated
08/18/2024
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