Individual
CHINEDU I UDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Mailing address
6041 VILLAGE BEND DR APT 1103, DALLAS, TX 75206-3611
(972) 900-3147
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1099833
TX
Other
Enumeration date
02/10/2023
Last updated
06/20/2023
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