Individual
IKECHUKWU A NWABUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2705 HOSPITAL BLVD, SUITE 105, GRAND PRAIRIE, TX 75051-0928
(817) 717-1299
(469) 458-6116
Mailing address
2705 HOSPITAL BLVD, SUITE 105, GRAND PRAIRIE, TX 75051-0928
(817) 717-1299
(469) 458-6116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001806
GA
207R00000X
Internal Medicine Physician
Primary
N5288
TX
Other
Enumeration date
01/12/2009
Last updated
08/15/2014
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