Individual
CHIDI SAMUEL ONWUSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
3500 W WHEATLAND RD, DALLAS, TX 75237-3460
(214) 947-7777
Mailing address
1620 PEGASUS DR, FORNEY, TX 75126-1337
(214) 516-0197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1098898
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1098898
TX
Other
Enumeration date
03/09/2023
Last updated
05/17/2023
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