Individual
MR. CHRISTOPHER A INEAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3750 S UNIVERSITY DR # 275, FORT WORTH, TX 76109-3795
(817) 294-9600
(817) 294-9611
Mailing address
3750 S UNIVERSITY DR # 275, FORT WORTH, TX 76109-3795
(817) 294-9600
(817) 294-9611
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
010468-1
NY
363A00000X
Physician Assistant
012149-1
NY
363A00000X
Physician Assistant
Primary
PA05609
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2825044
—
TX
Enumeration date
10/23/2007
Last updated
07/21/2022
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