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NPI Code Detail

MEDICARE: DR. OZIOMA PEACE NNOMADIM DO

MEDICARE: DR. OZIOMA PEACE NNOMADIM DO
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
1207V00000XObstetrics & Gynecology PhysicianW6733TX

General Provider Information

NPI Number : 1962151522
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OZIOMA PEACE NNOMADIM DO
Provider Business Mailing Address
First Line : 701 W 5TH ST
Second Line :
City : ODESSA
State : TX
Zip : 79763-4206
Country : US
Telephone Number : 432-703-5083
Fax Number :
Provider Business Practice Location Address
First Line : 701 W 5TH ST
Second Line :
City : ODESSA
State : TX
Zip : 79763-4206
Country : US
Telephone Number : 432-703-5083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2022
Last Update Date : 06/03/2026

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