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NPI Code Detail

MEDICARE: GOGHENE OGHOGHORIE

MEDICARE:   GOGHENE  OGHOGHORIE
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
1164X00000XLicensed Vocational Nurse327741TX

General Provider Information

NPI Number : 1518569979
Entity Type Code : Individual
Provider Name (Legal Business Name) : GOGHENE OGHOGHORIE
Provider Business Mailing Address
First Line : 14606 DALLAS PKWY APT 1031
Second Line :
City : DALLAS
State : TX
Zip : 75254-8836
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14606 DALLAS PKWY APT 1031
Second Line :
City : DALLAS
State : TX
Zip : 75254-8836
Country : US
Telephone Number : 214-497-2058
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2020
Last Update Date : 11/11/2020

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Directions to “ GOGHENE OGHOGHORIE ” Practice Location

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