Healthcare Provider Details

I. General information

NPI: 1326267147
Provider Name (Legal Business Name): PATRICK CHIDI OBASI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 K AVE STE 100
PLANO TX
75074-2503
US

IV. Provider business mailing address

6201 K AVE STE 100
PLANO TX
75074-2503
US

V. Phone/Fax

Practice location:
  • Phone: 214-227-0668
  • Fax: 214-227-0670
Mailing address:
  • Phone: 214-227-0668
  • Fax: 214-227-0670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberN6542
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: