Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | Q5399 | TX |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD2018-0542 | NM |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | Q5399 | TX |
NPI | 1245468354 |
---|---|
Provider Name | Dr. Akwugo Adanna Eziefule |
First Address | Houston, TX 77095-2754 |
Second Address | Albuquerque, NM 87109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2009 |
Last Update Date | 17/12/2020 |