Individual
IBIDUNNI OMOLAYO UKEGBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3506 21ST ST STE 401, LUBBOCK, TX 79410-1200
(469) 257-3500
(806) 723-7137
Mailing address
2727 BOLTON BOONE DR STE 103, DESOTO, TX 75115-2019
(469) 257-3500
(469) 449-0286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L3859
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159628003
—
TX
Enumeration date
04/11/2006
Last updated
11/07/2025
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