Individual
IFEOMA ADUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3600 GASTON AVE STE 550, DALLAS, TX 75246-1905
(469) 800-7974
Mailing address
3600 GASTON AVE STE 550, DALLAS, TX 75246-1905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R2516
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10049303
TX
Other
Enumeration date
04/23/2014
Last updated
02/13/2023
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