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NPI Code Detail

MEDICARE: GLORIA ILOBE IJIE FNP

MEDICARE: GLORIA ILOBE IJIE FNP
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
1363LF0000XFamily Nurse PractitionerAP130850TX

General Provider Information

NPI Number : 1811346729
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA ILOBE IJIE FNP
Provider Business Mailing Address
First Line : 7427 CHATHAN GLEN LN
Second Line :
City : RICHMOND
State : TX
Zip : 77407-3849
Country : US
Telephone Number : 832-400-2944
Fax Number :
Provider Business Practice Location Address
First Line : 1600 JACKSON ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-3248
Country : US
Telephone Number : 713-461-2915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2016
Last Update Date : 09/11/2024

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Directions to “ GLORIA ILOBE IJIE FNP” Practice Location

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