Organization
IKECHUKWU OSUJI, M.D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TOCHI A. OSUJI (MANAGER)
(972) 230-8881
Entity
Organization
Contact information
Practice address
1110 E. PLEASANT RUN ROAD, DESOTO, TX 75115
(972) 230-8881
(972) 230-8810
Mailing address
1110 E. PLEASANT RUN ROAD, DESOTO, TX 75115
(972) 230-8881
(972) 230-8810
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
K6669
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076QJ
BLUE CROSS BLUE SHIELD
TX
05
—
122225912
—
TX
05
—
165471701
—
TX
Enumeration date
02/02/2007
Last updated
09/11/2025
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