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Organization
LYDIA O. NJAMFA, MD.PA
Active
Organization
LYDIA O. NJAMFA, MD.PA
Active
Other names
Community Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA OLUWATOYIN NJAMFA M.D. (MEDICAL DIRECTOR)
(214) 570-9400
Entity
Organization
Contact information
Practice address
708 W SPRING VALLEY RD, RICHARDSON, TX 75080-7216
(214) 570-9400
(972) 792-7246
Mailing address
708 W SPRING VALLEY RD, RICHARDSON, TX 75080-7216
(214) 570-9400
(972) 792-7246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L0884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10017340
AMERIGROUP
TX
05
—
1703118-01
—
TX
05
—
1703118-02
—
TX
Enumeration date
08/13/2006
Last updated
10/01/2019
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