Most Relevant Information
Provider Data
| NPI Number: | 1003382615 |
| Provider Name: | NWABUGO I EZEOCHA RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 940968 |
Most Important Dates
| Enumeration Date: | 10/22/2018 |
| Last Updated: | 10/22/2018 |
Provider Practice Location
12371 S KIRKWOOD RD
STAFFORD
TX
774772836
Practice Location Phone/Fax
| Phone: | 7139959292 |
| Fax: |
Provider Mailing Location
1107 RIVER DELTA LN
ROSENBERG
TX
774692331
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |