Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | N9144 | TX |
NPI | 1003007295 |
---|---|
Provider Name | Dr. Obinna C. Uzowulu |
First Address | San Antonio, TX 78259-0161 |
Second Address | San Antonio, TX 78261-3084 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 05/10/2015 |