Provider Demographics
NPI:1477151678
Name:NWOKOBIA, EMELIA A
Entity Type:Individual
Prefix:MISS
First Name:EMELIA
Middle Name:A
Last Name:NWOKOBIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5218 URBAN CREST RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-1530
Mailing Address - Country:US
Mailing Address - Phone:972-903-5389
Mailing Address - Fax:
Practice Address - Street 1:5218 URBAN CREST RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-1530
Practice Address - Country:US
Practice Address - Phone:972-672-5832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist