Individual
CLOTHILDA EKEANYANWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
314 WHEELHOUSE CT, STAFFORD, TX 77477-5826
(281) 658-0116
Mailing address
314 WHEELHOUSE CT, STAFFORD, TX 77477-5826
(281) 658-0116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06172088
TX
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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