Individual
DR. EVBU OMOYEMWEN ENAKPENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY STE 240, MIDLAND, TX 79701-5856
(432) 221-3600
(432) 221-5170
Mailing address
400 ROSALIND REDFERN GROVER PKWY STE 240, MIDLAND, TX 79701-5856
(432) 221-3600
(432) 221-5170
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R0710
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972816189
NPI
TX
01
—
R0710
STATE LICENSE
TX
Enumeration date
07/16/2010
Last updated
09/04/2020
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