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Individual

CHUMA J. CHIKE-OBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
327 E CESAR CHAVEZ ST, AUSTIN, TX 78701
(512) 615-3280
(512) 546-7956
Mailing address
327 E CESAR CHAVEZ ST, AUSTIN, TX 78701-4577
(512) 615-3280
(512) 666-3763

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
P4853
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
P4853
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P4853
STATE LICENSE
TX
Enumeration date
08/10/2010
Last updated
02/05/2019
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