Individual ProviderObiageri IbewuikeRegistered NurseNursing Service ProvidersPractice Address13601 Preston Rd Ste 210w, Dallas, TX 75240-4986(972) 702-0300PECOS EnrollmentBased on the most recent information from CMS, provider Obiageri Ibewuike does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1750964078Provider TypeIndividualFull NameIbewuike, ObiageriGenderFemaleSole ProprietorNoEnumeration Date5/4/2021Last Updated5/4/2021Contact InformationPractice LocationPractice Address13601 Preston Rd Ste 210w, Dallas, TX 75240-4986Phone(972) 702-0300FaxUnlisted FaxMailing LocationMailing Address13601 Preston Rd Ste 210w, Dallas, TX 75240-4986PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense673496Texas