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Organization
BACHIMD, P.A.
Active
Organization
BACHIMD, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY ILOABACHIE MD (OWNER)
(805) 210-5491
Entity
Organization
Contact information
Practice address
763 E US HIGHWAY 80 STE 230, FORNEY, TX 75126-8682
(805) 210-5491
Mailing address
763 E US HIGHWAY 80 STE 230, FORNEY, TX 75126-8682
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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