Provider Demographics
NPI:1164807426
Name:ENWEREUZO, CHIBUIKE LEONARD (MD)
Entity Type:Individual
Prefix:
First Name:CHIBUIKE
Middle Name:LEONARD
Last Name:ENWEREUZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE BAYLOR PLAZA
Mailing Address - Street 2:#286A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3411
Mailing Address - Country:US
Mailing Address - Phone:713-948-7000
Mailing Address - Fax:
Practice Address - Street 1:520 E 6TH STREET, ODESSA REGIONAL MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761
Practice Address - Country:US
Practice Address - Phone:432-582-8578
Practice Address - Fax:432-582-8921
Is Sole Proprietor?:No
Enumeration Date:2015-07-28
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT4357207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology