Provider Demographics
NPI:1639063191
Name:NWAGBARA, NKECHI VICTORIA (AUD)
Entity type:Individual
Prefix:DR
First Name:NKECHI
Middle Name:VICTORIA
Last Name:NWAGBARA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 DR MLK JR DR APT 3404
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-4347
Mailing Address - Country:US
Mailing Address - Phone:914-960-7925
Mailing Address - Fax:
Practice Address - Street 1:6320 SOUTHWEST BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76109-6961
Practice Address - Country:US
Practice Address - Phone:817-766-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81785231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist