Individual
DR. NDIDI UFONDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
319 OSLER DR STE 150, ARLINGTON, TX 76010-5407
(817) 538-5291
(682) 238-0738
Mailing address
PO BOX 210773, BEDFORD, TX 76095-7773
(817) 330-9698
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
25MD00296800
NJ
213EP1101X
Primary Podiatric Medicine Podiatrist
3008
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00296800
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
3008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1I7588
MEDICARE
TX
01
—
1I7599
MEDICARE
TX
05
—
4215576
—
TX
05
—
4217457
—
TX
01
—
7869550001
PALMETTO GBA - NSC DME
TX
Enumeration date
06/17/2008
Last updated
02/28/2023
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