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Nicholas Okoronkwo

NPI 1922385947 · on the registry since 2011 · sole proprietor

Practice

Address
4520 Western Center Blvd
Haltom City, TX 76137
Phone
(817) 514-8063
Fax
(817) 514-9570
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas