Provider Demographics
NPI:1477536894
Name:NWOFOR, FLORENCE ONYEBUCHI (MD)
Entity Type:Individual
Prefix:DR
First Name:FLORENCE
Middle Name:ONYEBUCHI
Last Name:NWOFOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:ONYEBUCHI
Other - Last Name:NNEBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1900 N MESA ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3309
Mailing Address - Country:US
Mailing Address - Phone:915-532-8187
Mailing Address - Fax:
Practice Address - Street 1:1900 N MESA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3309
Practice Address - Country:US
Practice Address - Phone:915-532-8187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-21
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3950208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG52172Medicare UPIN