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General NPI Number Information
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NPI Number | 1639489628
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Entity Type | Individual
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Provider Name | DANIEL CHINWEUBA OBI-OFODILE M.D
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Gender | Male
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 11901 SHADOW CREEK PKWY STE 111
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City | PEARLAND
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State | TX
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Zip | 77584-7346
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Country | US
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Telephone | 281-760-1971
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Fax | 888-257-3780
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Provider Business Mailing Address
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Address Line | 11901 SHADOW CREEK PKWY STE 111
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City | PEARLAND
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State | TX
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Zip | 77584-7346
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Country | US
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Telephone | 281-760-1971
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Fax | 888-257-3780
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 65248
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | P7524
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P7524
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License Number State | TX
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