Individual
MR. EMMANUEL OKEZIE EGENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 WESTPARK WAY, SUITE 300, EULESS, TX 76040-3964
(817) 545-6600
(817) 545-6667
Mailing address
350 WESTPARK WAY, SUITE 300, EULESS, TX 76040-3964
(817) 545-6600
(817) 545-6667
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
27886
TX
1835G0303X
Geriatric Pharmacist
27886
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
27886
TX
1835P1200X
Pharmacotherapy Pharmacist
27886
TX
1835P1300X
Psychiatric Pharmacist
27886
TX
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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