MEDICARE: PATRICK CHIDI OBASI MD

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	133VN1201X	Obesity and Weight Management Nutrition Registered Dietitian	N6542	TX
2	208600000X	Surgery Physician	N6542	TX
3	207Q00000X	Family Medicine Physician	N6542	TX

General Provider Information

NPI Number	:	1326267147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK CHIDI OBASI MD

Provider Business Mailing Address
First Line	:	6201 K AVE STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-2503
Country	:	US
Telephone Number	:	214-227-0668
Fax Number	:	214-227-0670

Provider Business Practice Location Address
First Line	:	6201 K AVE STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-2503
Country	:	US
Telephone Number	:	214-227-0668
Fax Number	:	214-227-0670

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	03/06/2026

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