Individual
GABRIEL C EKWENUGO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8915 HARRY HINES BLVD, DALLAS, TX 75235-1717
(469) 544-0425
Mailing address
8915 HARRY HINES BLVD, DALLAS, TX 75235-1717
(469) 544-0425
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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