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NPI Code Detail

MEDICARE: ONACHI OFOMA MD

MEDICARE:   ONACHI  OFOMA  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
1207Q00000XFamily Medicine PhysicianT3353TX

General Provider Information

NPI Number : 1710321435
Entity Type Code : Individual
Provider Name (Legal Business Name) : ONACHI OFOMA MD
Provider Business Mailing Address
First Line : 1111 W LEDBETTER DR
Second Line :
City : DALLAS
State : TX
Zip : 75224-4962
Country : US
Telephone Number : 214-295-7344
Fax Number : 214-295-7853
Provider Business Practice Location Address
First Line : 1111 W LEDBETTER DR
Second Line :
City : DALLAS
State : TX
Zip : 75224-4962
Country : US
Telephone Number : 214-295-7344
Fax Number : 214-295-7853
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2013
Last Update Date : 07/11/2023

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Directions to “ ONACHI OFOMA MD” Practice Location

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