Individual
BIELOSE CHUKWUNWIKE KONWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9175
(214) 645-5777
Mailing address
813 SHOREWOOD DR, COPPELL, TX 75019-5603
(651) 208-5780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N3798
TX
208M00000X
Hospitalist Physician
N3798
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/05/2009
Last updated
04/27/2011
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