Prosperity Ezeanuna MD

NPI 1235275900 - Internal Medicine - 207RN0300X

NPI Details
NPI 1235275900
Gender Male
Enumeration Date 01/30/2007
Last Updated 03/21/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
2801 E 29TH ST STE 117
BRYAN TX, 77802-2619, US
Phone (979) 402-2115
Fax (979) 705-3505
Business Location
2801 E 29TH ST STE 117
BRYAN TX, 77802-2619, US
Phone (979) 402-2115
Fax (979) 705-3505
Toxanomy
Taxonomy Code 207RN0300X
License State Texas
License Number N4405
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According to our database, Prosperity Ezeanuna MD NPI is 1235275900, taxonomy code is 207RN0300X and license number is N4405, license state is located at Texas. Prosperity Ezeanuna MD physically located at 2801 E 29th St Ste 117, Bryan TX, 77802-2619. NPI Number Prosperity Ezeanuna MD has the Individual type.

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1235275900 NPI number is provided on an as is basis without warranty of any kind. 1235275900 is maintained by the National Plan & Provider Enumeration System. The contents of Prosperity Ezeanuna MD are for informational purposes only.