Whalio Doctors

NPI 1013524131

Iocck Healthcare Services, LLC

Organisation Primary Care Clinic/Center Grand Prairie, TX

Practice location

Address
2875 Grandview Dr, Grand Prairie, TX 75052-8518
Phone
(214) 906-5427

Authorised official

Name
Ifeanyi Duruewuru
Title
Owner/Manager
Phone
(214) 906-5427

Registered specialties (5)

Primary Care Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QP2300X
Home Health Agency
Agencies Taxonomy 251E00000X
Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261Q00000X
Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0400X
Skilled Nursing Facility
Nursing & Custodial Care Facilities Taxonomy 314000000X

Registry record

NPI
1013524131
Entity type
Organization
NPI issued
24 Sep 2020
Record last updated
24 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.