Dr. Chukwuagozie Obinna Iloma, DO,MHA/INF
Emergency Medicine in Fort Worth, TX. Individual provider (NPI-1).
NPI number1235699745
StatusActive
Last updated in NPPESJun 9, 2021
Details
- NPI
- 1235699745
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chukwuagozie Obinna Iloma
- Credential
- DO,MHA/INF
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2019
- Certification date
- Jun 9, 2021
- Last updated
- Jun 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | S9316 | TX | Yes |
Practice location
1500 S Main StFort Worth, TX 76104-4941
Phone 817-702-8840
Mailing address
1500 S Main StFort Worth, TX 76104-4941
Phone 817-702-8840
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