Individual
DR. CHIJIOKE F ISINGUZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2990 N BROADWAY AVE, TYLER, TX 75702-2149
(903) 593-1892
Mailing address
PO BOX 844273, DALLAS, TX 75284-4273
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
N1688
TX
208000000X
Pediatrics Physician
Primary
N1688
TX
208000000X
Pediatrics Physician
PENDING
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201539803
—
TX
05
—
201539804
—
TX
01
—
45-2578435
TRICARE
TX
01
—
8AP486
BCBS
TX
01
—
8DL017
BCBS
TX
Enumeration date
03/12/2008
Last updated
09/17/2024
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