Provider Demographics
NPI:1083085351
Name:INYANG, GODSPOWER
Entity Type:Individual
Prefix:
First Name:GODSPOWER
Middle Name:
Last Name:INYANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:596 PENDLETON DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-7346
Mailing Address - Country:US
Mailing Address - Phone:469-826-1115
Mailing Address - Fax:469-778-2162
Practice Address - Street 1:596 PENDLETON DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-7346
Practice Address - Country:US
Practice Address - Phone:469-826-1115
Practice Address - Fax:469-778-2162
Is Sole Proprietor?:No
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor