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8800 Tanglewood Dr Mckinney TX 75072-8345 | |
| (214) 477-8167 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 8800 Tanglewood Dr, Mckinney, Texas |
| Authorized Official Name and Position | Ifeoma Irokwe (NP) |
| Authorized Official Contact | 2144778167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8800 Tanglewood Dr Mckinney TX 75072-8345 Ph: (214) 477-8167 | 8800 Tanglewood Dr Mckinney TX 75072-8345 Ph: (214) 477-8167 |
| NPI Number | 1740812635 |
|---|---|
| Provider Enumeration Date | 02/07/2020 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Medicare PECOS PAC ID | 9638500465 |
|---|---|
| Medicare Enrollment ID | O20200512002008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740812635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Ifeoma Irokwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013554617 PECOS PAC ID: 6507915717 Enrollment ID: I20200414003002 |
| Provider Name | Caroline Onyekachi Nwachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871132225 PECOS PAC ID: 6103098108 Enrollment ID: I20200908000486 |
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