Organization
DR EDWARD CHIEKE NWANEGBO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CHIEKE NWANEGBO M.D. (OWNER/ PHYSICIAN)
(806) 385-6424
Entity
Organization
Contact information
Practice address
1600 S SUNSET AVE, LITTLEFIELD, TX 79339-4810
(806) 385-6424
(806) 385-4305
Mailing address
1600 S SUNSET AVE, LITTLEFIELD, TX 79339-4810
(806) 385-6424
(806) 385-4305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P2906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007YJ
BCBS GROUP
TX
05
—
314194701
—
TX
05
—
314194702
—
TX
01
—
8DP363
BCBS INDIVIDUAL
TX
Enumeration date
10/16/2012
Last updated
06/14/2013
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