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NPI Code Detail

MEDICARE: OBEHI IYOHA

MEDICARE:   OBEHI  IYOHA
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
1164X00000XLicensed Vocational Nurse308645TX

General Provider Information

NPI Number : 1013413616
Entity Type Code : Individual
Provider Name (Legal Business Name) : OBEHI IYOHA
Provider Business Mailing Address
First Line : 2200 BENT CREEK CT
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-1988
Country : US
Telephone Number : 214-809-0866
Fax Number :
Provider Business Practice Location Address
First Line : 2200
Second Line : BENT CREEK COURT
City : MANSFIELD
State : TX
Zip : 76063-7606
Country : US
Telephone Number : 214-809-0866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2018
Last Update Date : 04/03/2018

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Directions to “ OBEHI IYOHA ” Practice Location

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