Organization
CHIJIOKE D. UKOHA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIJIOKE DAVID UKOHA MD (PHYSICIAN)
(972) 279-1700
Entity
Organization
Contact information
Practice address
1800 N GALLOWAY AVE, SUITE 100, MESQUITE, TX 75149-2299
(972) 279-1700
(972) 279-1102
Mailing address
306 STONEMEADE WAY, COPPELL, TX 75019-2679
(972) 279-1700
(972) 279-1102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J8405
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132062409
—
TX
Enumeration date
11/06/2007
Last updated
11/06/2007
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