| Texas Occupational Medical Services | |
|
1110 Cottonwood Irving TX 75038 | |
| (972) 767-9372 | |
| Not Available |
| Full Name | Texas Occupational Medical Services |
|---|---|
| Speciality | Preventive Medicine |
| Location | 1110 Cottonwood, Irving, Texas |
| Authorized Official Name and Position | Ifeoma Ogbonna (OWNER) |
| Authorized Official Contact | 9727679372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Occupational Medical Services 532 Sims Dr Cedar Hill TX 75104-7711 Ph: (972) 767-9372 | Texas Occupational Medical Services 1110 Cottonwood Irving TX 75038 Ph: (972) 767-9372 |
| NPI Number | 1073250650 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 02/27/2023 |
| Medicare PECOS PAC ID | 4284019332 |
|---|---|
| Medicare Enrollment ID | O20220910000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073250650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | (* (Not Available)) | Primary |
| Provider Name | Ifeoma Ogbonna |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1235517087 PECOS PAC ID: 6103259452 Enrollment ID: I20191127002023 |
| Provider Name | Augustina Oluchi Ogbonna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114659117 PECOS PAC ID: 8426968116 Enrollment ID: I20230221002077 |
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