Individual
DR. OBIAGELI CHINAKA EZEWUIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7848 GATEWAY BLVD E, EL PASO, TX 79915-1815
(915) 599-1313
(915) 599-1701
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11013729A
IL
207RH0003X
Hematology & Oncology Physician
01069645A
IN
207RH0003X
Hematology & Oncology Physician
Primary
S6610
TX
207RX0202X
Medical Oncology Physician
TP954
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417903801
—
TX
Enumeration date
06/17/2008
Last updated
01/08/2021
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