Individual
DR. TOBENNA IGWEONU NWIZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7501 LAKEVIEW PKWY STE 100, ROWLETT, TX 75088-9330
(972) 412-2577
(972) 412-0398
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036120500
IL
207RH0003X
Hematology & Oncology Physician
099327
OH
207RH0003X
Hematology & Oncology Physician
Primary
Q6352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354740803
—
TX
05
—
354740804
—
TX
Enumeration date
01/09/2008
Last updated
03/17/2018
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