| Victor Nwiloh Pa | |
|
1475 Heritage Pkwy Suite 225 Mansfield TX 76063-2735 | |
| (817) 453-7522 | |
| Not Available |
| Full Name | Victor Nwiloh Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1475 Heritage Pkwy, Mansfield, Texas |
| Authorized Official Name and Position | Victor M Nwiloh (OWNER) |
| Authorized Official Contact | 8174537522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Nwiloh Pa 1475 Heritage Pkwy 225 Mansfield TX 76063-2735 Ph: (817) 453-7522 | Victor Nwiloh Pa 1475 Heritage Pkwy Suite 225 Mansfield TX 76063-2735 Ph: (817) 453-7522 |
| NPI Number | 1386068104 |
|---|---|
| Provider Enumeration Date | 02/13/2014 |
| Last Update Date | 01/19/2016 |
| Medicare PECOS PAC ID | 9335364629 |
|---|---|
| Medicare Enrollment ID | O20140630000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386068104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Victor M Nwiloh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851338032 PECOS PAC ID: 1658354832 Enrollment ID: I20130618000583 |
| Provider Name | Mariagorety O Nwiloh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740604560 PECOS PAC ID: 1951527308 Enrollment ID: I20140722000232 |
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