Individual
IZI DANIEL OBOKHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9558
(806) 354-5693
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 414-9558
(806) 354-5693
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
P1799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200570870 A
—
OK
05
—
308994802
—
TX
05
—
308994803
—
TX
05
—
36532231
—
NM
Enumeration date
06/18/2007
Last updated
03/31/2015
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