Ezeuka, Uzoma I

Ezeuka, Uzoma I is an individual health care provider with primary practice located at 6551 Harris Pkwy Ste 110 , Fort Worth TX 76132-6105. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ezeuka, Uzoma I can be contacted via phone (817) 625-3500.

Contact Information

Primary practice address
6551 Harris Pkwy Ste 110 Fort Worth TX 76132-6105
Phone: (817) 625-3500
Fax: (682) 708-7225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 221165 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20714 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP137572 Texas

Profile Details

NPI number 1689122574
LBN Legal business name Ezeuka, Uzoma I
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2016
Last updated Apr 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689122574 NPPES
Texas MEDICAID 409078901

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