Individual
VICTORIA K. NWOSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1307 8TH AVE STE 608, FORT WORTH, TX 76104-4109
(817) 921-4191
(817) 926-6045
Mailing address
1307 8TH AVE STE 608, FORT WORTH, TX 76104-4140
(817) 921-4191
(817) 926-6045
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2009-00917
NC
2084N0400X
Neurology Physician
LL28084
SC
2084N0400X
Neurology Physician
Primary
P4216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3095101
—
TX
01
—
547906ZXU5
MEDICARE
TX
Enumeration date
11/02/2006
Last updated
04/06/2023
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