Individual
GIDEON OFISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5200 BLUE QUARTZ RD, FORT WORTH, TX 76179-7326
(316) 807-1281
Mailing address
5200 BLUE QUARTZ RD, FORT WORTH, TX 76179-7326
(316) 807-1281
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP132772
TX
Other
Enumeration date
07/10/2019
Last updated
07/28/2020
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