Individual
DR. JOSEPH C IKEKWERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D, MPH
Contact information
Practice address
3101 S AUSTIN AVE, GEORGETOWN, TX 78626-7541
(512) 621-4547
(312) 729-6582
Mailing address
PO BOX 4088, CEDAR PARK, TX 78630-4088
(512) 621-4547
(312) 957-2834
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301114201
MI
2084P0800X
Psychiatry Physician
Primary
T1395
TX
2084P0802X
Addiction Psychiatry Physician
036.152582
IL
Other
Enumeration date
04/16/2015
Last updated
02/12/2023
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