Linda Chiebuka Ahaiwe, DO
Student in an Organized Health Care Education/Training Program in Tyler, TX. Individual provider (NPI-1).
NPI number1114615408
StatusActive
Last updated in NPPESApr 26, 2023
Details
- NPI
- 1114615408
- Entity type
- Individual (NPI-1)
- Name
- Linda Chiebuka Ahaiwe
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2023
- Certification date
- Apr 25, 2023
- Last updated
- Apr 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | BP10085228 | TX | Yes |
Practice location
11937 Us Highway 271Tyler, TX 75708-3154
Phone 903-877-7200
Mailing address
11937 Us Highway 271Tyler, TX 75708-3154
Phone 903-877-7200
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