Organization
IBIDUNNI O UKEGBU PA
Active
Other names
Pearl Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
IBISUNNI O UKEGBU MD (OWNER)
(469) 453-2008
Entity
Organization
Contact information
Practice address
8067 W VIRGINIA DR, SUITE 101, DALLAS, TX 75237-3767
(469) 453-2008
Mailing address
PO BOX 1598, CEDAR HILL, TX 75106-1598
(469) 453-2008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2011
Last updated
03/06/2012
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