Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marvise Ijeoma Oduagu

Individual provider Acute Care Nurse Practitioner · NPI 1679136220

Marvise Ijeoma Oduagu is a Nurse Practitioner in Dallas, Texas. Qualified in 2018, 8 years ago. Practices with Dallas County Hospital District, a 598-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

305 W Commerce St Apt 336
Dallas, TX 75208-1985
Phone: (214) 597-4465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 30020 (TX)

Record details

NPI number1679136220
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 19, 2019
Last updated in NPPESApril 19, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Dallas County Hospital District — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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