MR. GOZIE AGHAEGBUNAM EKWENUGO (NPI# 1881848505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881848505 |
| Entity Type | Individual |
| Full Name | MR. GOZIE AGHAEGBUNAM EKWENUGO |
| Credential | R.T. |
| Practice Address |
3525 Canyon Rd Grand Prairie TX 75052-7852 |
| Mailing Address |
Po Box 170566 Dallas TX 75217-0566 |
| Practice Telephone | 2148691133 |
| Practice Fax Number | 9726020157 |
| Mailing Telephone | 2148691133 |
| Mailing Fax Number | 9726020157 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 11144 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3525 CANYON RD |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-7852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659672509 | Nnaemeka Rufus Morah | Radiologic Technologist | 5093 Noric Dr, Grand Prairie, TX 75052-2575 | 2010-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087049 | Alaa Mohamed | Radiologic Technologist | 8330 Lyndon B Johnson Fwy Ste B302, Dallas, TX 75243-1166 | 2020-03-04 |
| 1346882628 | 247 Mobile X-ray Services LLC | Radiologic Technologist | 10407 Shanley Landing Ct, Richmond, TX 77407-2727 | 2019-10-08 |
| 1205308707 | Dax Eli Wagner | Radiologic Technologist | 815 Hanks St, Lufkin, TX 75904-4961 | 2018-12-20 |
| 1578041828 | Sarah Nichole Northcutt | Radiologic Technologist | 12517 Nicholas Pl, Rhome, TX 76078-6064 | 2018-07-30 |
| 1649779448 | Rafael Rodriguez | Radiologic Technologist | 11365 Montwood Dr Ste A, El Paso, TX 79936-3867 | 2018-02-07 |
| 1568997559 | Gregory Abdullah | Radiologic Technologist | 134 E Mistletoe Ave, San Antonio, TX 78212-3407 | 2017-04-27 |
| 1093261604 | Julio Alcala | Radiologic Technologist | 10291 Pellicano Suite 102, El Paso, TX 79935 | 2016-09-01 |
| 1700339959 | Nina Tokpawhiea | Radiologic Technologist | 9900 Adleta Blvd Apt 711, Dallas, TX 75243-9211 | 2016-07-24 |
| 1780058032 | Daniel Benard Suniga | Radiologic Technologist | 2250 Holly Hall St Apt 345, Houston, TX 77054-3941 | 2015-11-24 |
| 1104292119 | William Lewis Snyder Jr. | Radiologic Technologist | 551 Renee Ln, Desoto, TX 75115-5161 | 2015-08-12 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
Please comment or provide details below to improve the information on MR. GOZIE AGHAEGBUNAM EKWENUGO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.