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NPI Code Detail

MEDICARE: IBIYE OWEI NWANZE MD

MEDICARE:   IBIYE OWEI NWANZE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QB0002XObesity Medicine (Family Medicine) PhysicianS8625TX
2207Q00000XFamily Medicine PhysicianS8625TX

General Provider Information

NPI Number : 1336672468
Entity Type Code : Individual
Provider Name (Legal Business Name) : IBIYE OWEI NWANZE MD
Provider Business Mailing Address
First Line : 5130 GATEWAY BLVD E # 51015
Second Line :
City : EL PASO
State : TX
Zip : 79905-1608
Country : US
Telephone Number : 915-215-4480
Fax Number : 915-215-5386
Provider Business Practice Location Address
First Line : 2000B TRANSMOUNTAIN RD STE B400
Second Line :
City : EL PASO
State : TX
Zip : 79911-3600
Country : US
Telephone Number : 915-215-8400
Fax Number : 915-612-9254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2017
Last Update Date : 11/09/2023

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Directions to “ IBIYE OWEI NWANZE MD” Practice Location

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