Individual
DR. UZOMA BEN GBULIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1021 MATLOCK RD STE 103, MANSFIELD, TX 76063-3443
(682) 400-2152
(817) 377-6568
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-0205
(817) 740-8450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R3677
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
R3677
TX
Other
Enumeration date
05/18/2007
Last updated
11/05/2021
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