Individual
DR. HENRY WAKIKU NTENDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8050 HIGHWAY 191, SUITE 202, ODESSA, TX 79765-8613
(432) 312-6065
Mailing address
11816 INWOOD RD, DALLAS, TX 75244-8011
(501) 658-8830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101245604
VA
207RN0300X
Nephrology Physician
0101245604
VA
207RN0300X
Nephrology Physician
34790
OK
207RN0300X
Nephrology Physician
E3610
AR
207RN0300X
Nephrology Physician
Primary
P0645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149496001
—
AR
Enumeration date
05/16/2006
Last updated
08/21/2025
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