MEDICARE: APPOLONIA WANA BIH CHINEME NP, DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	T-692237	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP130415	TX
3	363LF0000X	Family Nurse Practitioner	AP130415	TX

General Provider Information

NPI Number	:	1750740486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APPOLONIA WANA BIH CHINEME NP, DPM

Provider Business Mailing Address
First Line	:	2500 CIRCLE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76119-8138
Country	:	US
Telephone Number	:	817-702-7340
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 CIRCLE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76119-8138
Country	:	US
Telephone Number	:	817-702-7340
Fax Number	:

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

Provider Enumeration Date	:	02/23/2016
Last Update Date	:	03/07/2026

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