MEDICARE: EMANUEL M NWORA 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
1	207Q00000X	Family Medicine Physician	M2428	TX

General Provider Information

NPI Number	:	1801807631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMANUEL M NWORA MD

Provider Business Mailing Address
First Line	:	811 KINGS FOREST LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-5520
Country	:	US
Telephone Number	:	281-777-1255
Fax Number	:	713-953-1925

Provider Business Practice Location Address
First Line	:	8303 SOUTHWEST FWY STE 940
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1600
Country	:	US
Telephone Number	:	281-777-1255
Fax Number	:	713-953-1925

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	10/29/2007

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