Individual
DR. IKENNA CHIMAEZE OGOBUIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, MBA, CRNA, APRN
Contact information
Practice address
1761 PLACITAS TRL, FORT WORTH, TX 76131-1506
(214) 874-8516
Mailing address
1761 PLACITAS TRL, FORT WORTH, TX 76131-1506
(214) 874-8516
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
845025
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1166576
TX
Other
Enumeration date
08/18/2020
Last updated
07/28/2024
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