Individual
DR. TELEMA DIKIBUJIRI NGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
LONGVIEW REGIONAL MEDICAL CENTER, 2901 NORTH FOURTH STREET, LONGVIEW, TX 75605
(856) 782-2212
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-2450
(817) 702-8445
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
R2186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372933701
—
TX
Enumeration date
05/13/2011
Last updated
08/13/2019
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