Organization
NIDUS HEATHCARE CONSULTING PA
Active
Other names
Perinatal associate and testing center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NKECHI EZIRIM MD (MEDICAL DIRECTOR)
(518) 618-8405
Entity
Organization
Contact information
Practice address
1003 HARRIER DR, MIDLAND, TX 79706-2426
(773) 349-6855
Mailing address
1003 HARRIER DR, MIDLAND, TX 79706-2426
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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