MRS. CLEMENTINA ADAKU OGWUMA


Address: 412 N Main St Ste 100, Euless, TX 76039-3632
Phone: 8173585800

MRS. CLEMENTINA ADAKU OGWUMA (NPI# 1952570954) 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) 1952570954
Entity Type Individual
Full Name MRS. CLEMENTINA ADAKU OGWUMA
Credential MSN, APRN-NP-C
Practice Address 412 N Main St Ste 100
Euless
TX 76039-3632
Practice Telephone 8173585800
Practice Fax Number 8175468672
Mailing Telephone 8173585800
Mailing Fax Number 8175468672
Enumeration Date 2008-02-22
Last Update Date 2016-10-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 716565 TX Nursing Service Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AP13002 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BOARD OF NURSING AP130022 01

Office Location

Street Address 412 N MAIN ST STE 100
City EULESS
State TX
Zip Code 76039-3632

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1972075323 Irvingverse Iom LLC Specialist/Technologist, Other 803 Little Cub Way, Euless, TX 76039 2018-12-26
1265928980 Harwood Smiles Pllc Clinic/Center 918 E Harwood Rd, Suite C, Euless, TX 76039 2018-07-05
1639622137 Christabelle Alexander Dentist 901 E Harwood Rd, Ste 100, Euless, TX 76039 2016-08-01
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City EULESS
Zip Code 76039

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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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