Ifeanyi Gabriel Ezeh, | |
8413 Park Avenue, Lyford, TX 78569 | |
(956) 437-1355 | |
Not Available |
Full Name | Ifeanyi Gabriel Ezeh |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 8413 Park Avenue, Lyford, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871093260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 75334 (Texas) | Primary |
Entity Name | Inner Clarity Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154886422 PECOS PAC ID: 8022442078 Enrollment ID: O20240506000363 |
Mailing Address | Practice Location Address |
---|---|
Ifeanyi Gabriel Ezeh, Po Box 460, Lyford, TX 78569-0460 Ph: (956) 437-1355 | Ifeanyi Gabriel Ezeh, 8413 Park Avenue, Lyford, TX 78569 Ph: (956) 437-1355 |
Carolina Torres Medrano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12935 W Glen Lofton, Lyford, TX 78569 Phone: 956-966-9898 | |
Mrs. Wenda Ann Kolterman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11360 La Coma Road, Lyford, TX 78569 Phone: 956-343-1439 Fax: 956-347-3182 | |
Ms. Rosalinda Salazar, LPC Counselor Medicare: Medicare Enrolled Practice Location: 15330 Dahlia Rd, Lyford, TX 78569 Phone: 956-245-8161 |