Ofomata, Ikechukwu Robert

Ofomata, Ikechukwu Robert is an individual health care provider with primary practice located at 1350 N Westmoreland Rd , Dallas TX 75211-1654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Ofomata, Ikechukwu Robert can be contacted via phone (214) 330-0036.

Contact Information

Primary practice address
1350 N Westmoreland Rd Dallas TX 75211-1654
Phone: (214) 330-0036
Fax: (214) 337-3905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X L5857 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X L5857 Texas

Profile Details

NPI number 1104845304
LBN Legal business name Ofomata, Ikechukwu Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 25th, 2022 - about 2 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1104845304 NPPES
Texas MEDICAID 1600066-10

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