Individual
MR. ETHELBERT ONUEFI ODO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
606 ORIOLE BLVD STE 301, DUNCANVILLE, TX 75116-3500
(469) 556-1467
(972) 296-2001
Mailing address
611 PONDVIEW DR, CEDAR HILL, TX 75104-6219
(469) 556-1467
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP134842
TX
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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