Individual
IKEMEFUNA CHARLES OKWUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-5311
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-5311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10033958
TX
208M00000X
Hospitalist Physician
Primary
P4687
TX
Other
Enumeration date
05/07/2009
Last updated
05/27/2016
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