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NPI Code Detail

MEDICARE: VICTORIA K. NWOSU MD

MEDICARE:   VICTORIA K. NWOSU  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
12084N0400XNeurology Physician2009-00917NC
22084N0400XNeurology PhysicianLL28084SC
32084N0400XNeurology PhysicianP4216TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1547906ZXU5OTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558449603
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA K. NWOSU MD
Provider Business Mailing Address
First Line : 1307 8TH AVE STE 608
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4140
Country : US
Telephone Number : 817-921-4191
Fax Number : 817-926-6045
Provider Business Practice Location Address
First Line : 1307 8TH AVE STE 608
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4109
Country : US
Telephone Number : 817-921-4191
Fax Number : 817-926-6045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 04/06/2023

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Directions to “ VICTORIA K. NWOSU MD” Practice Location

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