Obokhare, Izi Daniel

Obokhare, Izi Daniel is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Obokhare, Izi Daniel can be contacted via phone (806) 414-9558.

Contact Information

Primary practice address
1400 S Coulter St Amarillo TX 79106-1786
Phone: (806) 414-9558
Fax: (806) 354-5693
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X P1799 Texas

Profile Details

NPI number 1437354784
LBN Legal business name Obokhare, Izi Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Mar 31st, 2015 - about 9 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 1437354784 NPPES
Texas MEDICAID 308994802
Texas MEDICAID 200570870 A
Texas MEDICAID 308994803
Texas MEDICAID 36532231

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