Individual
DR. OLUCHI OZUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 S CLAY ST STE 104, ENNIS, TX 75119-5771
(443) 418-4667
Mailing address
752 N MAIN ST UNIT 1386, MANSFIELD, TX 76063-3293
(443) 418-4667
(859) 252-3073
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD435554
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
Q0682
TX
208VP0000X
Pain Medicine Physician
47813
KY
208VP0014X
Interventional Pain Medicine Physician
MD435554
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100317560
—
KY
Enumeration date
02/12/2007
Last updated
10/12/2022
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