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Individual

DR. EVBU OMOYEMWEN ENAKPENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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
Update your record

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