Individual
DR. MICHAEL EMEKA ESEDEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 N BUCKNER BLVD STE 104, DALLAS, TX 75228-5548
(214) 774-9111
(214) 774-9109
Mailing address
102 FOREST BEND DR, COPPELL, TX 75019-2039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L0155
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
L0155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047474404
—
TX
Enumeration date
08/30/2006
Last updated
04/06/2023
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