Provider Demographics
NPI:1801897475
Name:NWANKWO, STELLA NGOZI (MD)
Entity type:Individual
Prefix:DR
First Name:STELLA
Middle Name:NGOZI
Last Name:NWANKWO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2855 KATE LN
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-8540
Mailing Address - Country:US
Mailing Address - Phone:646-331-3444
Mailing Address - Fax:817-385-5433
Practice Address - Street 1:211 E CLARENDON DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-2914
Practice Address - Country:US
Practice Address - Phone:214-941-4903
Practice Address - Fax:214-941-4904
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXL7079207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine