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Individual

IYOOH UCHECHUWU DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1650 W ROSEDALE ST STE 301, FT WORTH, TX 76104-7400
(682) 610-5670
(817) 348-0087
Mailing address
6020 W PARKER RD STE 200, PLANO, TX 75093-8172
(972) 608-5000

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
T0762
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
T0762
TMB
TX
Enumeration date
04/13/2015
Last updated
09/27/2021
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