1235467804 NPI number — NOBLE EZUKANMA M.D P.A

Table of content: (NPI 1235467804)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235467804 NPI number — NOBLE EZUKANMA M.D P.A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NOBLE EZUKANMA M.D P.A
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235467804
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/11/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
117 KING RANCH CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT WORTH
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76108-9593
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
117 KING RANCH CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT WORTH
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76108-9593
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-300-1471
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/19/2009

Additional Information

Authorized Official

Authorized Official Last Name:
EZUKNAMA
Authorized Official First Name:
NOBLE
Authorized Official Middle Name:
U
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
817-300-1471

Provider Taxonomy Codes

  • Taxonomy code: 207RP1001X , with the licence number:  K8745 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: K8745 . This is a "STATE LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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