| NPI | 1699399030 |
|---|---|
| Former Legal Business Name | PLLC |
| Entity Type | Organization |
| Authorized Contact | EMMANUEL N NWABUDE Pmhnp 580-736-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |