Individual
MR. OFONIME NTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8720 HIGHWAY 6 STE 400, MISSOURI CITY, TX 77459-7108
(281) 783-8162
(281) 895-3083
Mailing address
16107 KENSINGTON DR STE 126, SUGAR LAND, TX 77479-4224
(281) 783-8162
(281) 895-3083
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
101563
OK
363L00000X
Nurse Practitioner
Primary
AP136791
TX
363LF0000X
Family Nurse Practitioner
F09170912
OK
Other
Enumeration date
03/20/2017
Last updated
01/16/2024
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