Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 036 | IL |
N | 207V00000X | Obstetrician & Gynecologist | 265146 | NY |
N | 207V00000X | Obstetrician & Gynecologist | Q0908 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | Q0908 | TX |
NPI | 1073776977 |
---|---|
Provider Name | Dr. Christopher Atsaboghena Enakpene |
First Address | Odessa, TX 79763-4206 |
Second Address | Odessa, TX 79763-4206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2008 |
Last Update Date | 12/07/2019 |