Smart O Idemudia in Lewisville - Family Medicine
Smart O Idemudia - NPI 1154364974
Smart O Idemudia is a Family Medicine in Lewisville, Texas. Smart O Idemudia practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Smart O Idemudia is 1154364974. The last update date is 2008-03-05.
Smart O Idemudia's current location address is Po Box 292128, Lewisville, Texas. You can contact this provider via phone number 9724206777 and fax number 9724200656. The mailing address for Smart O Idemudia is Po Box 292128, Lewisville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Smart O Idemudia |
|---|---|
| Address | Po Box 292128, Lewisville, Texas |
| Phone Number | 9724206777 |
| Fax Number | 9724200656 |
| Sole Proprietor | Y |
| Credentials | M.D., PHD |
NPI Number Detail
| NPI Number | 1154364974 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2008-03-05 |
Provider Mailing Address Detail
| Address | Po Box 292128 |
|---|---|
| City | Lewisville |
| State | Texas (TX) |
| Post Code | 750292128 |
| Phone Number | 9724206777 |
| Fax Number | 9724200656 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | J91000 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0078DM | TX | BLUE CROSS / BLUE SHIELD | |
| F46614 | TX | COMMERCIAL |
Post Comment/ Review Below
Could you please provide the complete street address where Smart O Idemudia is physically located?
The Smart O Idemudia is physically situated at the following address: Po Box 292128, Lewisville, TX, 750292128.
What is the Smart O Idemudia's area of specialization and corresponding taxonomy classification?
The Smart O Idemudia's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
What is Smart O Idemudia's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Smart O Idemudia is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When did the Smart O Idemudia receive its 1154364974?
The Smart O Idemudia was issued its 1154364974 on 2006-06-13, which is the date when the organization was assigned this unique identifier.
On what date did the Smart O Idemudia receive its 1154364974 assignment from the Centers for Medicare & Medicaid Services?
The Smart O Idemudia was assigned its 1154364974 by the Centers for Medicare & Medicaid Services on 2006-06-13.
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