Individual
INNOCENT OBETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5411 GEMSTONE PARK RD, RICHMOND, TX 77407-4161
(832) 533-6047
Mailing address
5411 GEMSTONE PARK RD, RICHMOND, TX 77407-4161
(832) 533-6047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
787427
TX
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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