Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 2011-01652 | NC |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | R5102 | TX |
NPI | 1093908535 |
---|---|
Provider Name | Ebere Chukwu |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2007 |
Last Update Date | 13/01/2021 |