Individual
MRS. CHIOMA IMELDA EZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5151 HARRY HINES BLVD, DALLAS, TX 75235-7707
(908) 821-6770
Mailing address
5151 HARRY HINES BLVD, DALLAS, TX 75235-7707
(817) 744-8125
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1008439
TX
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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