Organization
EZUKANMA GROUP OF COMPANIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOBLE EZUKANMA M.D. (PRESIDENT)
(817) 882-9901
Entity
Organization
Contact information
Practice address
508 S ADAMS ST, SUITE 100, FORT WORTH, TX 76104-2147
(817) 882-9901
(817) 882-8135
Mailing address
117 KING RANCH CT, FORT WORTH, TX 76108-9593
(817) 882-9901
(817) 882-8135
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K8745
TX
Other
Enumeration date
06/10/2007
Last updated
08/22/2020
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