Individual
DR. CHUKWUMA C OSUAGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 W CENTERVILLE RD, SUITE 118, GARLAND, TX 75041-5914
(214) 758-0332
(214) 758-0636
Mailing address
1015 W CENTERVILLE RD, SUITE 118, GARLAND, TX 75041-5914
(214) 758-0332
(214) 758-0636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4412
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M4412
MEDICAL LIS
TX
Enumeration date
10/03/2006
Last updated
07/15/2020
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