Individual
CLARA IFEYINWA ODILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3100
(817) 702-2140
Mailing address
200 W MAGNOLIA AVE STE 201, FORT WORTH, TX 76104-7657
(817) 702-1100
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1159620
TX
363LF0000X
Family Nurse Practitioner
Primary
1159620
TX
Other
Enumeration date
06/27/2024
Last updated
07/28/2026
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