Individual
MS. OBIAGELI CHARITY EZEKWESILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12980 BANDERA RD, HELOTES, TX 78023-4098
(866) 389-2727
Mailing address
12022 LAMAR BRG, SAN ANTONIO, TX 78249-4165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP126264
TX
363LF0000X
Family Nurse Practitioner
AP126264
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP126264
TX
Other
Enumeration date
08/20/2014
Last updated
02/11/2020
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