Ayandibu, Grace

Ayandibu, Grace is an sole proprietor health care provider with primary practice located at 2637 Plaza Pkwy , Wichita Falls TX 76308-3889. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is her primary health care specialty. Ayandibu, Grace can be contacted via phone (940) 239-9160.

Contact Information

Primary practice address
2637 Plaza Pkwy Wichita Falls TX 76308-3889
Phone: (940) 239-9160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178007242 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X T9346 Texas

Profile Details

NPI number 1023395928
LBN Legal business name Ayandibu, Grace
Credentials M.D, M.S, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2011
Last updated Apr 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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