Individual
CHUKUEMEKA N ODITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL PKWY, LAKEWAY, TX 78738-5621
(512) 571-5000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
S6702
TX
Other
Enumeration date
05/25/2007
Last updated
01/27/2022
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