Michael E Esedebe Mdpa in Dallas - Clinic/center
Michael E Esedebe Mdpa - NPI 1740343177
Michael E Esedebe Mdpa is a Clinic/center in Dallas, Texas. Michael E Esedebe Mdpa practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Michael E Esedebe Mdpa is 1740343177. The last update date is 2012-02-01.
Michael E Esedebe Mdpa's current location address is 11617 N Central Expy, Dallas, Texas. You can contact this provider via phone number 2145531516 and fax number 2145531519. The mailing address for Michael E Esedebe Mdpa is 11617 N Central Expy, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael E Esedebe Mdpa |
|---|---|
| Address | 11617 N Central Expy, Dallas, Texas |
| Phone Number | 2145531516 |
| Fax Number | 2145531519 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Esedebe Emeka Michael |
| Credentials | MD |
| Telephone Number | 2143369559 |
NPI Number Detail
| NPI Number | 1740343177 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2012-02-01 |
Provider Mailing Address Detail
| Address | 11617 N Central Expy |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752433800 |
| Phone Number | 2145531516 |
| Fax Number | 2145531519 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | L0155 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47474404 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael E Esedebe Mdpa by the Centers for Medicare & Medicaid Services?
The Michael E Esedebe Mdpa has been issued the NPI (National Provider Identifier) 1740343177 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Michael E Esedebe Mdpa?
The Michael E Esedebe Mdpa is physically situated at 11617 N Central Expy, in the city of Dallas, state of TX, with the postal code 752433800.
What is Michael E Esedebe Mdpa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael E Esedebe Mdpa is Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740343177 to Michael E Esedebe Mdpa?
The Centers for Medicare & Medicaid Services assigned the 1740343177 to Michael E Esedebe Mdpa on 2006-12-18.
As of what date was the information pertaining to Michael E Esedebe Mdpa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael E Esedebe Mdpa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-02-01.