Provider Demographics
NPI:1114214061
Name:NWOSU, ADAEZE CHIMEOGO (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAEZE
Middle Name:CHIMEOGO
Last Name:NWOSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ADAEZE
Other - Middle Name:CHIMEOGO
Other - Last Name:OKAFOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1860 S SEGUIN AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3915
Mailing Address - Country:US
Mailing Address - Phone:830-468-5600
Mailing Address - Fax:
Practice Address - Street 1:1054 TEXAN TRL
Practice Address - Street 2:SUITE 300
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3784
Practice Address - Country:US
Practice Address - Phone:253-682-1710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ2357207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine