Individual
GRACE AYANDIBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D, M.S, LPC
Contact information
Practice address
2637 PLAZA PKWY, WICHITA FALLS, TX 76308-3889
(940) 239-9160
Mailing address
2637 PLAZA PKWY, WICHITA FALLS, TX 76308-3889
(940) 666-3060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178007242
IL
207NS0135X
Procedural Dermatology Physician
Primary
T9346
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/08/2011
Last updated
04/10/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us