Individual
MR. OSAZE IDUMWONYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8500 N STEMMONS FWY STE 1090, DALLAS, TX 75247-3848
(972) 740-6059
Mailing address
PO BOX 667, CEDAR HILL, TX 75106-0667
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
20140
TX
251B00000X
Case Management Agency
20140
TX
Other
Enumeration date
10/06/2025
Last updated
01/28/2026
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