Individual
AGNES EDITH OWUOR OBITA-OUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1133 MEDICAL DR, TYLER, TX 75701-2130
(903) 595-5486
(903) 595-5128
Mailing address
1133 MEDICAL DR, TYLER, TX 75701-2130
(903) 595-5486
(903) 595-5128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41613
IA
207RN0300X
Nephrology Physician
Primary
S0346
TX
Other
Enumeration date
12/26/2013
Last updated
04/20/2023
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