Individual
JAMES CHUKWUMA IKEMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12200 PARK CENTRAL DR, STE 415, DALLAS, TX 75251-2100
(972) 232-0218
(214) 660-0270
Mailing address
12200 PARK CENTRAL DR, STE 415, DALLAS, TX 75251-2100
(972) 232-0218
(214) 660-0270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L8084
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165041801
—
TX
01
—
8F7946
MEDICARE ID
TX
01
—
8F9490
MEDICARE ID
TX
Enumeration date
06/28/2006
Last updated
01/22/2013
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