Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 6305 | TX |
NPI | 1770873523 |
---|---|
Provider Name | Mr. Obinna Lloyd Nwosu |
First Address | Houston, TX 77036-7745 |
Second Address | Houston, TX 77036-7745 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2011 |
Last Update Date | 13/04/2011 |