Organization
UNEC GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOBLE EZUKANMA M.D. (PRESIDENT)
(817) 700-1471
Entity
Organization
Contact information
Practice address
117 KING RANCH CT, FORT WORTH, TX 76108-9593
(817) 700-1471
Mailing address
117 KING RANCH CT, FORT WORTH, TX 76108-9593
(817) 700-1471
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K8745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010PV
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/04/2008
Last updated
08/19/2008
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