Individual
MR. GOZIE AGHAEGBUNAM EKWENUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T.
Contact information
Practice address
3525 CANYON RD, GRAND PRAIRIE, TX 75052-7852
(214) 869-1133
(972) 602-0157
Mailing address
PO BOX 170566, DALLAS, TX 75217-0566
(214) 869-1133
(972) 602-0157
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
11144
TX
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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