Individual provider · Type 1 NPI

Cosmas Onyedika Ihezie, MD, CSFA

Student in an Organized Health Care Education/Training Program · Tyler, TX

NPI number 1174397988 Active

Practice location

University Of Texas Health Science Center At Tyler, 11937 U.s. Hwy. 271
Tyler, TX 75708-4603

Mailing address

564 Lake Forest Dr
Coppell, TX 75019-2826

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174397988

Cosmas Onyedika Ihezie, MD, CSFA's National Provider Identifier is 1174397988, issued on Nov 13, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tyler, TX. The record was last updated on Jun 13, 2025.