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Contact Information

CHRISTOPHER A INEAMA, PHYSICIAN ASSISTANT
3750 S UNIVERSITY DR # 275
FORT WORTH, TX76109-3795
 Phone: 817-294-9600
 Fax: 817-294-9611
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical Technologist

246QM0706X
Indicates primary specialty

NPI Profile & details for CHRISTOPHER A INEAMA · (Male)

NPI Number 1063601300
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 10/23/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 010468-1
  • NY License # 012149-1
  • TX License # PA05609
  • TX Medicaid 2825044
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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