# INTEGRATED INFECTIOUS DISEASES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376773168
- **Authorized official:** CHARLES C MBONU MD (PRESIDENT)
- **Authorized official phone:** (903) 614-5050

## Contact information

- **Practice address:** 1002 TEXAS BLVD STE 200, TEXARKANA, TX 75501-5133
- **Practice address phone:** (903) 310-4950
- **Mailing address:** PO BOX 7707, TEXARKANA, TX 75505-7707
- **Mailing address phone:** (903) 310-4950
- **Mailing address fax:** (903) 793-8350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2009
- **Last updated:** 08/26/2026