Whalio Doctors

NPI 1235463084

Ikechukwu Stanislaus Iwunnah

Practitioner Contractor Mesquite, TX

Practice location

Address
3201 Ih 30 STE C2, Mesquite, TX 75150-2602
Phone
(972) 279-0643
Fax
(972) 279-0543
Mailing address
3201 Ih-30 STE C2, Mesquite, TX 75150-2602

Registered specialties

Contractor Primary
Other Service Providers Taxonomy 171W00000X Licence 0109451 (TX)

Registry record

NPI
1235463084
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Sep 2009
Record last updated
28 Sep 2009

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.