Organization
NOBLE EZUKANMA M.D P.A
Active
Other names
Nobility Pulmonary Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOBLE U EZUKNAMA M.D. (OWNER)
(817) 300-1471
Entity
Organization
Contact information
Practice address
117 KING RANCH CT, FORT WORTH, TX 76108-9593
(817) 300-1471
Mailing address
117 KING RANCH CT, FORT WORTH, TX 76108-9593
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K8745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K8745
STATE LICENSE
TX
Enumeration date
11/19/2009
Last updated
02/11/2010
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