Individual
ANNASTECIA OGECHI MADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 DUNCAN RD, COPPERAS COVE, TX 76522-7409
(254) 577-4880
Mailing address
1216 DUNCAN RD, COPPERAS COVE, TX 76522-7409
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
970035
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60980407
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1201549
TX
Other
Enumeration date
11/11/2019
Last updated
04/03/2026
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