NPI
Noble U. Ezukanma
NPI 1295705291
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2006-01-24
- Last updated
- 2012-07-23
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Specialties
Licenses
- License TX
- K8745
Location
- Practice location
- 8401 Jacksboro Hwy, Suite 218
- City
- Lakeside TX
- Postal code
- 76135-4351
- Phone
- (817) 338-0400
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
Found on the OIG exclusion list (NPI match).
Nearby
Other NPIs in Lakeside, TX. 9 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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