Individual
CHARLES EJIOFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN, FNP-C, PMHNP-BC
Contact information
Practice address
1350 N WESTMORELAND RD, DALLAS, TX 75211-1654
(214) 743-1200
Mailing address
PO BOX 1738, WYLIE, TX 75098-1738
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP126858
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP126858
TX
Other
Enumeration date
12/11/2014
Last updated
04/05/2022
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