Individual
EMMANUEL E. INYANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N WESTMORELAND RD, DEHARO-SALDIVAR HEALTH CENTER, DALLAS, TX 75211-1656
(214) 266-0500
(214) 266-0554
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J7526
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140973202
—
TX
05
—
140973203
—
TX
05
—
140973205
—
TX
05
—
140973206
—
TX
05
—
140973208
—
TX
05
—
140973210
—
TX
05
—
140973212
—
TX
05
—
140973214
—
TX
05
—
140973216
—
TX
05
—
140973217
—
TX
05
—
140973218
—
TX
05
—
140973220
—
TX
01
—
8U7229
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/06/2005
Last updated
12/19/2012
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