Individual provider · Type 1 NPI

Ekene Uchenna Ezeokoli, MMD

Student in an Organized Health Care Education/Training Program · Odessa, TX

NPI number 1053201186 Active

Practice location

701 W 5th St
Odessa, TX 79763-4206

Call (432) 620-1160 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10095828 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053201186

Ekene Uchenna Ezeokoli, MMD's National Provider Identifier is 1053201186, issued on Jul 9, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Odessa, TX. The record was last updated on Jul 9, 2025.