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NPI Code Detail

MEDICARE: DR. NGOZI MARY ILONDIOR DNP, AGANCP-BC

MEDICARE:  DR. NGOZI MARY ILONDIOR  DNP, AGANCP-BC
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
1363LA2100XAcute Care Nurse Practitioner1228481TX

General Provider Information

NPI Number : 1821949280
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NGOZI MARY ILONDIOR DNP, AGANCP-BC
Provider Business Mailing Address
First Line : 6201 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-5202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6201 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-5202
Country : US
Telephone Number : 817-889-3913
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 04/20/2026

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Directions to “ DR. NGOZI MARY ILONDIOR DNP, AGANCP-BC” Practice Location

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