Individual
EZIAHA VICTOR IHEDIWAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6060 N CENTRAL EXPY STE 500, DALLAS, TX 75206-5249
(945) 296-2799
Mailing address
1019 SHACKELFORD LN, FORNEY, TX 75126-5096
(929) 222-8811
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1104379
TX
Other
Enumeration date
01/23/2023
Last updated
05/15/2026
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