Ezeanuna, Prosperity

Ezeanuna, Prosperity is an individual health care provider with primary practice located at 1673 Briarcrest Dr Ste 100B , Bryan TX 77802-2756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ezeanuna, Prosperity can be contacted via phone (979) 985-5339.

Contact Information

Primary practice address
1673 Briarcrest Dr Ste 100B Bryan TX 77802-2756
Phone: (979) 985-5339
Fax: (979) 705-3505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X N4405 Texas

Profile Details

NPI number 1235275900
LBN Legal business name Ezeanuna, Prosperity
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 2nd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235275900 NPPES
New Hampshire MEDICAID 30207833
New Hampshire MEDICAID 532956099

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