Organization
TEXAS BENEVOLENTCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEANYI IZEDIUNO MD (CEO)
(917) 860-8198
Entity
Organization
Contact information
Practice address
8380 WARREN PKWY STE 602, FRISCO, TX 75034-4253
(917) 860-8198
Mailing address
PO BOX 940194, PLANO, TX 75094-0194
(917) 860-8198
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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