Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | TX |
NPI | 1477151678 |
---|---|
Provider Name | Miss Emelia A Nwokobia |
First Address | Dallas, TX 75227-1530 |
Second Address | Dallas, TX 75227-1530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2020 |
Last Update Date | 14/10/2020 |