Organization
ALLWELL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA IKONNE NP (OWNER)
(469) 381-9070
Entity
Organization
Contact information
Practice address
1001 E HEBRON PKWY STE 118-297, CARROLLTON, TX 75010-1002
(469) 381-9070
Mailing address
4620 RIDGE LN, CARROLLTON, TX 75010-1210
(469) 381-9070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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