Individual
MRS. CHIOMA OHIRI TAWOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
110 MEDICAL HOSPITAL DR, HUNTSVILLE, TX 77340
(936) 291-3219
Mailing address
208 LE BLANC ST, FORT BRAGG, NC 28307-2120
(214) 683-1244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP128792
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371149102
—
TX
01
—
AP128792
APRN LICENSE
TX
Enumeration date
08/17/2015
Last updated
08/21/2020
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