Individual
IGHO C OLOBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
541 W MAIN ST STE 110, LEWISVILLE, TX 75057
(469) 702-6633
(469) 702-6636
Mailing address
541 W MAIN ST STE 110, LEWISVILLE, TX 75057-3628
(469) 702-6633
(469) 702-6636
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K4178
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040592001
—
TX
05
—
040592007
—
TX
Enumeration date
02/15/2006
Last updated
07/22/2019
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