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COSMAS ONYEDIKA IHEZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, CSFA

Contact information

Practice address
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER, 11937 U.S. HWY. 271, TYLER, TX 75708-4603
(903) 877-7200
Mailing address
564 LAKE FOREST DR, COPPELL, TX 75019-2826
(469) 237-5072

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TX

Other

Enumeration date
11/13/2023
Last updated
06/13/2025
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