Individual
EMMANUEL OSITADINMA NWADEYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10420 HUFFINES DR, ROWLETT, TX 75089-8569
(214) 315-5255
Mailing address
10420 HUFFINES DR, ROWLETT, TX 75089-8569
(214) 315-5255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA04693
PHYICIAN ASSISTANT LICENSE NUMBER
TX
Enumeration date
02/17/2009
Last updated
02/17/2009
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