Eziaha Victor Ihediwah, | |
1019 Shackelford Ln, Forney, TX 75126-5096 | |
(929) 222-8811 | |
Not Available |
Full Name | Eziaha Victor Ihediwah |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1019 Shackelford Ln, Forney, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447965660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1104379 (Texas) | Primary |
Entity Name | Solidbase Behavioral Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275311888 PECOS PAC ID: 1557719143 Enrollment ID: O20231120002863 |
Mailing Address | Practice Location Address |
---|---|
Eziaha Victor Ihediwah, 1019 Shackelford Ln, Forney, TX 75126-5096 Ph: (929) 222-8811 | Eziaha Victor Ihediwah, 1019 Shackelford Ln, Forney, TX 75126-5096 Ph: (929) 222-8811 |
David Salazar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11632 Nicole Ln, Forney, TX 75126 Phone: 214-486-9820 | |
Kelly Dawn Hunt, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 757 E Us Highway 80 Ste 180, Forney, TX 75126 Phone: 972-564-9380 | |
Kosisochi Ginigeme Ngozi-ibeh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Pinson Rd Ste M, Forney, TX 75126 Phone: 469-977-1300 | |
Ashley Milby, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 763 E Us Highway 80 Ste 100, Forney, TX 75126 Phone: 972-564-0711 Fax: 972-564-0323 | |
Mrs. Chinwendu Peace Onwusor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1620 Pegasus Dr, Forney, TX 75126 Phone: 469-269-9972 | |
Ruth Ete Sakwe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 Fishergate Dr, Forney, TX 75126 Phone: 214-664-2012 | |
Dr. Omah S Tsikada, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Pinson Rd, Ste M Pmb 1027, Forney, TX 75126 Phone: 903-689-3994 |