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Organization
MERCY FAMILY CLINIC
Active
Organization
MERCY FAMILY CLINIC
Active
Other names
EBERE ISRAEL AZUBUIKE MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EBERE ISRAEL AZUBUIKE MD (PRESIDENT/ CEO)
(214) 942-2377
Entity
Organization
Contact information
Practice address
2409 ALCO AVE, DALLAS, TX 75211-2614
(214) 942-2377
(214) 942-2977
Mailing address
2409 ALCO AVE, DALLAS, TX 75211-2614
(214) 942-2377
(214) 942-2977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M9136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069SD
BCBS OF TX
TX
01
—
M9136
LICENCE
TX
Enumeration date
02/17/2009
Last updated
01/10/2023
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