Provider Demographics
NPI:1568243509
Name:ONWERE, ARMSTRONG DAVID
Entity Type:Individual
Prefix:
First Name:ARMSTRONG
Middle Name:DAVID
Last Name:ONWERE
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 1:501 HOLLAWAY CIR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-7199
Mailing Address - Country:US
Mailing Address - Phone:951-323-8743
Mailing Address - Fax:
Practice Address - Street 1:501 HOLLAWAY CIR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-7199
Practice Address - Country:US
Practice Address - Phone:951-323-8743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-06
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95024518363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily