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Individual

HENRY EHIZOKHALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
4407 EMERALD LEAF DR, MANSFIELD, TX 76063-5545
(443) 600-8858
Mailing address
134 N 4TH STREET, BROOKLYN, NY 11249, BROOKLYN, NY 11249

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
950273
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403900
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61239833
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
HENRY EHIZOKHALE
TX
Enumeration date
11/18/2021
Last updated
05/09/2025
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