Individual
DR. IKENNA ADUGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2185 BRINKER RD, DENTON, TX 76208-6986
(940) 384-1809
(940) 384-7744
Mailing address
2185 BRINKER RD, DENTON, TX 76208-6986
(940) 384-1809
(940) 384-7744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K6978
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131165611
—
TX
05
—
161797901
—
TX
Enumeration date
06/25/2006
Last updated
11/22/2013
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