Provider Demographics
NPI:1154219061
Name:AMARII
Entity type:Organization
Organization Name:AMARII
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHINWEM
Authorized Official - Middle Name:
Authorized Official - Last Name:IBEKWE-NWONUMAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-717-0269
Mailing Address - Street 1:5103 MAGNA CARTA BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-5234
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 E GREENHILL LN STE 104
Practice Address - Street 2:
Practice Address - City:FATE
Practice Address - State:TX
Practice Address - Zip Code:75087-3006
Practice Address - Country:US
Practice Address - Phone:214-717-0269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty