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NPI Code Detail

MEDICARE: DR. NGOZI ENWEREM MD

MEDICARE:  DR. NGOZI  ENWEREM  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianS7044TX

General Provider Information

NPI Number : 1740607696
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NGOZI ENWEREM MD
Provider Business Mailing Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-857-1590
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-857-1590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2014
Last Update Date : 12/22/2025

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Directions to “ DR. NGOZI ENWEREM MD” Practice Location

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