Individual
DR. CHARLES OKECHUKWU ONYEAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 PARKVIEW DRIVE, SUITE 102, TROPHY CLUB, TX 76262
(817) 400-1572
Mailing address
PO BOX 336, ROANOKE, TX 76262-0336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125051985
IL
208000000X
Pediatrics Physician
Primary
N8831
TX
Other
Enumeration date
08/12/2008
Last updated
08/12/2014
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