| Obiora M Ekweani Md, Pa | |
|
3220 Parkwood Blvd Frisco TX 75034 | |
| (972) 668-3990 | |
| (972) 668-3991 |
| Full Name | Obiora M Ekweani Md, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 3220 Parkwood Blvd, Frisco, Texas |
| Authorized Official Name and Position | Obiora M Ekweani (PRESIDENT) |
| Authorized Official Contact | 9726683990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Obiora M Ekweani Md, Pa 3220 Parkwood Blvd Frisco TX 75034 Ph: (972) 668-3990 | Obiora M Ekweani Md, Pa 3220 Parkwood Blvd Frisco TX 75034 Ph: (972) 668-3990 |
| NPI Number | 1013031095 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 03/15/2018 |
| Medicare PECOS PAC ID | 2961485594 |
|---|---|
| Medicare Enrollment ID | O20040612000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013031095 | NPI | - | NPPES |
| 164983201 | Medicaid | TX | |
| K9522 | Other | TX | TEXAS MEDICAL LICENSE # |
| 00462W | Other | TX | MEDICARE |
| 127521620 | Medicaid | TX | |
| 14985 | Other | MS | MEDICAL LICENSE # |
| 1780670315 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | K9522 (Texas) | Primary |
| Provider Name | Obiora M Ekweani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780670315 PECOS PAC ID: 1850374489 Enrollment ID: I20040612000368 |
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