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Organization
GOOD4U FAMILY CLINIC DALLAS FORT WORTH DFWPLLC
Active
Organization
GOOD4U FAMILY CLINIC DALLAS FORT WORTH DFWPLLC
Active
Other names
Good4u Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHIBUZOR NGWAKWE (MANAGER)
(214) 228-5447
Entity
Organization
Contact information
Practice address
1417 N COCKRELL HILL RD STE 101A, DALLAS, TX 75211-1308
(214) 228-5447
(469) 778-0124
Mailing address
1417 N COCKRELL HILL RD STE 106, DALLAS, TX 75211-1430
(214) 228-5447
(469) 778-0124
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
803342054
STATE OF TEXAS
TX
05
—
803342054
—
TX
Enumeration date
02/03/2020
Last updated
06/16/2023
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