Individual
CALLISTUS OHAEGBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MEDICAL PKWY, LAKEWAY, TX 78738-5621
(512) 654-5000
Mailing address
6715 W GATE BLVD UNIT A, AUSTIN, TX 78745-4810
(614) 687-6973
(614) 687-6973
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
975334
TX
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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