Individual
DR. ADAIAH ABUMEZE EZEKIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 MAIN ST, SUITE 107, RICHMOND, TX 77469-3247
(832) 595-6200
(832) 595-6201
Mailing address
1601 MAIN ST, SUITE 107, RICHMOND, TX 77469-3247
(832) 595-6200
(832) 595-6201
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L3418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558470 02
—
TX
01
—
1835191 01
MEDICAID GROUP
TX
Enumeration date
07/24/2006
Last updated
02/20/2009
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