Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | M2429 | TX |
NPI | 1194764159 |
---|---|
Provider Name | Ona Nwosu |
First Address | Dallas, TX 75254-7476 |
Second Address | Dallas, TX 75254-7476 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I47723 | (02) |