Individual
DR. EBERE I AZUBUIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 WYNNEWOOD VILLAGE, SUITE 102A, DALLAS, TX 75224-1838
(214) 942-2377
(214) 942-2977
Mailing address
501 WYNNEWOOD VILLAGE, SUITE 102A, DALLAS, TX 75224
(214) 942-2377
(214) 942-2977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M9136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M9136
LICENCE
TX
Enumeration date
06/15/2007
Last updated
05/07/2015
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