Individual
DR. IFEANYICHUKWU C ONYEACHOLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12554 RIATA VISTA CIRCLE, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIRCLE, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57014972
OH
2085R0202X
Diagnostic Radiology Physician
A111436
CA
2085R0202X
Diagnostic Radiology Physician
Primary
Q7587
TX
Other
Enumeration date
02/03/2009
Last updated
12/01/2021
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