IKENNA CHIMAEZE OGOBUIRO


Address: 1761 Placitas Trl, Fort Worth, TX 76131-1506
Phone: 2148748516

IKENNA CHIMAEZE OGOBUIRO (NPI# 1497367882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497367882
Entity Type Individual
Full Name IKENNA CHIMAEZE OGOBUIRO
Credential RN
Practice Address 1761 Placitas Trl
Fort Worth
TX 76131-1506
Practice Telephone 2148748516
Mailing Telephone 2148748516
Enumeration Date 2020-08-18
Last Update Date 2020-08-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
845025 TX Nursing Service Providers

Office Location

Street Address 1761 PLACITAS TRL
City FORT WORTH
State TX
Zip Code 76131-1506

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City FORT WORTH
Zip Code 76131

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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