Individual
MR. NDUBUISI ALVIN ODEGAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
703 S HIGHWAY 377, AUBREY, TX 76227-5534
(972) 483-5380
(972) 217-4773
Mailing address
703 S HIGHWAY 377, AUBREY, TX 76227-5534
(972) 483-5380
(972) 217-4773
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
61155
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP135646
TX
Other
Enumeration date
10/31/2017
Last updated
04/11/2024
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