MEDICARE: ICHS MEDICAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1316648884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ICHS MEDICAL PLLC

Provider Business Mailing Address
First Line	:	2747 SCARBOROUGH DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-4270
Country	:	US
Telephone Number	:	903-449-8303
Fax Number	:

Provider Business Practice Location Address
First Line	:	2747 SCARBOROUGH DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-4270
Country	:	US
Telephone Number	:	903-449-8303
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IMMACULATA EME INYANG
Credential	:	FNP
Telephone Number	:	469-996-8373

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	12/10/2025

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