Organization
PRIME ADDICTION MEDICINE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OKECHUKWU OBUA MD (PRESIDENT)
(214) 621-4604
Entity
Organization
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5000
Mailing address
13902 LITTLE CT, HOUSTON, TX 77077-1958
(214) 621-4604
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/26/2020
Last updated
12/26/2020
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