| Clindle Llc | |
|
1600 Brook Ave Wichita Falls TX 76301-5620 | |
| (580) 215-8299 | |
| Not Available |
| Full Name | Clindle Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 Brook Ave, Wichita Falls, Texas |
| Authorized Official Name and Position | Ikechukwu Ronald Ogbu (PCP) |
| Authorized Official Contact | 5802158299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clindle Llc 8324 Snow Goose Way Fort Worth TX 76118-2002 Ph: (580) 215-8299 | Clindle Llc 1600 Brook Ave Wichita Falls TX 76301-5620 Ph: (580) 215-8299 |
| NPI Number | 1851168231 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 04/16/2025 |
| Medicare PECOS PAC ID | 8224489661 |
|---|---|
| Medicare Enrollment ID | O20240110000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851168231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ikechukwu R Ogbu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285194431 PECOS PAC ID: 2264769728 Enrollment ID: I20220823003977 |
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