Doctor Name: | MR. IKECHUKWU STANISLAUS IWUNNAH |
NPI Number: | 1235463084 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0109451 |
Business Practice Address: | 3201 Ih 30 Ste C2 Mesquite, TX - 751502602 |
Business Phone Number: | 9722790643 |
Business Fax Number: | 9722790543 |
Mailing Address: | 3201 Ih-30 Ste C2, MESQUITE |
State: | TX |
Postal Code: | 751502602 |
Phone Number: | 9722790643 |
Fax Number: | 9722790543 |
NPI Enumeration Date: | 09/28/2009 |
NPI Last Update Date: | 09/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171W00000X |
License Number: | 0109451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |