Organization
INVICTA FAMILY HEALTHCARE CLINIC, PLLC
Active
Other names
Regional Health Clinic at Terrell, REGIONAL HEALTH CLINIC AT TERRELL, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL O IDEMUDIA NP (OWNER)
(972) 563-1475
Entity
Organization
Contact information
Practice address
904 W MOORE AVE STE B, TERRELL, TX 75160-3004
(972) 563-1475
(972) 524-5132
Mailing address
904 W. MOORE AVE., SUITE B, FORNEY, TX 75126-0228
(972) 563-1475
(972) 524-5132
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
TX
Other
Enumeration date
06/21/2017
Last updated
12/19/2024
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