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NPI Code Detail

MEDICARE: GREAT CHIAMAKA OGUEJIOFOR

MEDICARE:   GREAT CHIAMAKA OGUEJIOFOR
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
1163WC0200XCritical Care Medicine Registered Nurse983225TX

General Provider Information

NPI Number : 1578497772
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREAT CHIAMAKA OGUEJIOFOR
Provider Business Mailing Address
First Line : 2109 W PARKER RD SUITE 202A PMB1020
Second Line :
City : PLANO
State : TX
Zip : 75023-7740
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3901 W 15TH ST
Second Line :
City : PLANO
State : TX
Zip : 75075-7738
Country : US
Telephone Number : 972-596-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ GREAT CHIAMAKA OGUEJIOFOR ” Practice Location

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