Individual
IFUNAYACHUKWU MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
2811 ROLLING HILLS LN, GRAND PRAIRIE, TX 75052-7076
(214) 336-8178
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12475
TX
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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