Individual
CHINYERE MBAGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-2273
Mailing address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-2273
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
VA0101259717
VA
207R00000X
Internal Medicine Physician
0101259717
VA
208D00000X
General Practice Physician
Primary
0101259717
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2014
Last updated
03/30/2026
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