Individual
PAUL OKECHUKWU IKWUEZUNMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
951 STAFFORDALE MANOR LN, HOUSTON, TX 77047-4592
(832) 614-2979
Mailing address
951 STAFFORDALE MANOR LN, HOUSTON, TX 77047-4592
(832) 614-2979
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
343900000X
TX
172A00000X
Driver
Primary
344600000X
TX
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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