Most Relevant Information
Provider Data
| NPI Number: | 1003344623 |
| Provider Name: | JUSTINA OSAGIODUWA NWOKEDI CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 106984 |
Most Important Dates
| Enumeration Date: | 05/26/2017 |
| Last Updated: | 03/04/2019 |
Provider Practice Location
6606 LBJ FWY STE 200
DALLAS
TX
752406524
Practice Location Phone/Fax
| Phone: | 9727155000 |
| Fax: | 9727159976 |
Provider Mailing Location
6606 LBJ FWY
DALLAS
TX
752406533
Provider Mailing Phone/Fax
| Phone: | 9727155000 |
| Fax: | 9723862155 |