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Individual

DR. MADUKA HAROLD ODOGWU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1010 N BELT LINE RD STE 101, MESQUITE, TX 75149-1770
(469) 862-3756
(469) 862-3766
Mailing address
1010 N BELT LINE RD STE 101, MESQUITE, TX 75149-1770
(469) 862-3756
(469) 862-3766

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33863
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33863
STATE LICENSE
SC
05
338637
SC
05
37996702
TX
01
652387
MEDICARE
TX
01
Q8981
STATE LICENSE
TX
Enumeration date
08/20/2007
Last updated
09/26/2022
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