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Dominique Idahor
NPI 1053780254 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5813 Lincoln Meadows Ct
409
Fort Worth, TX 76112 - Phone
- (817) 986-6999
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas