Provider Demographics
NPI:1801807631
Name:NWORA, EMANUEL M (MD)
Entity type:Individual
Prefix:
First Name:EMANUEL
Middle Name:M
Last Name:NWORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:811 KINGS FOREST LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5520
Mailing Address - Country:US
Mailing Address - Phone:281-777-1255
Mailing Address - Fax:713-953-1925
Practice Address - Street 1:8303 SOUTHWEST FWY STE 940
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1600
Practice Address - Country:US
Practice Address - Phone:281-777-1255
Practice Address - Fax:713-953-1925
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM2428207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F4805Medicare PIN
TXH93212Medicare UPIN