Organization · Type 2 NPI

Invicta Family Healthcare Clinic, PLLC

Gerontology Nurse Practitioner · Terrell, TX

NPI number 1093235046 Active

Practice location

904 W Moore Ave Ste B
Terrell, TX 75160-3004

Call (972) 563-1475 Map

Fax (972) 524-5132

Mailing address

904 W. Moore Ave., Suite B
Forney, TX 75126-0228

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center	261QP2300X	None listed
Gerontology Nurse Practitioner Primary	363LG0600X	None listed

Gerontology Nurse Practitioner: Definition to come...

Another provider at this address

Michael Idemudia, DNP, APRN, FNP-CFamily Nurse Practitioner Terrell, TX NPI 1306391396

NPI record

NPI: 1093235046
Entity type: Organization (Type 2)
Issued: Jun 21, 2017
Last updated: Dec 19, 2024
Status: Active

Other names

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Regional Health Clinic at Terrell, PLLC · doing business as
Regional Health Clinic at Terrell, PLLC · doing business as
Regional Health Clinic at Terrell · doing business as

Authorized official

Dr. Michael O Idemudia, NP
Owner
(972) 563-1475

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093235046

Invicta Family Healthcare Clinic, PLLC's National Provider Identifier is 1093235046, issued on Jun 21, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Terrell, TX. The record was last updated on Dec 19, 2024.