Individual
EDWARD C. NWANEGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E RIDGE RD, MCALLEN, TX 78503
(512) 730-3056
(888) 730-1925
Mailing address
7500 RIALTO BLVD STE 1-140, AUSTIN, TX 78735-8534
(512) 730-3056
(888) 730-1925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301099056
MI
207Q00000X
Family Medicine Physician
Primary
P2906
TX
207Q00000X
Family Medicine Physician
R-8307
IA
208M00000X
Hospitalist Physician
P20906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00778Y
MEDICARE CLINIC B GROUP
TX
01
—
162693901
LHC FAMILY MEDICINE MEDICAID
TX
05
—
1891955944
—
MI
05
—
299532602
—
TX
05
—
299532603
—
TX
01
—
8DG081
BCBS LHC
TX
Enumeration date
06/12/2008
Last updated
12/19/2023
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