Bertha Ezenagu

NPI 1023257003 - Home Health - 251E00000X

NPI Details
NPI 1023257003
Enumeration Date 02/13/2009
Last Updated 02/18/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name BERTHA K BERTHA
Position OWNER
Phone (214) 341-2490
Fax (214) 341-2492
Practice Location
9304 FOREST LN
STE 248
DALLAS TX, 75243-6238, US
Phone (214) 341-2490
Fax (214) 341-2492
Business Location
9304 FOREST LN
STE 248
DALLAS TX, 75243-6238, US
Phone (214) 341-2490
Fax (214) 341-2492
Toxanomy
Taxonomy Code 251E00000X
License State Texas
License Number 009354
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According to our database, Bertha Ezenagu NPI is 1023257003, taxonomy code is 251E00000X and license number is 009354, license state is located at Texas. Bertha Ezenagu physically located at 9304 Forest Ln, Dallas TX, 75243-6238. NPI Number 1033115704 has the healthcare provider type.

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1023257003 NPI number is provided on an as is basis without warranty of any kind. 1023257003 is maintained by the National Plan & Provider Enumeration System. The contents of Bertha Ezenagu are for informational purposes only.