Provider Demographics
NPI:1134942360
Name:ONYEKWUM, DANIEL IKECHUKWU
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:IKECHUKWU
Last Name:ONYEKWUM
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 1:2619 MCKINNEY AVE APT 1401
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-3043
Mailing Address - Country:US
Mailing Address - Phone:469-434-0425
Mailing Address - Fax:
Practice Address - Street 1:2619 MCKINNEY AVE APT 1401
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-3043
Practice Address - Country:US
Practice Address - Phone:469-434-0425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage