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NPI 1821595646

NPI 1821595646 : CATHERINE IFEYINWA CHOKUBA-AZUM MD : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1821595646
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    Entity Type          |    Individual 
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    Provider Name        |    CATHERINE IFEYINWA CHOKUBA-AZUM MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/09/2018
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    Last Update Date     |    11/12/2025
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Provider Practice Location Address
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    Address Line         |    17115 RED OAK DR STE 213 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77090-2607
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    Country              |    US
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    Telephone            |    423-454-9328
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    Fax                  |    949-703-8058
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Provider Business Mailing Address
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    Address Line         |    24526 MILTONWOOD ST 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77373-5130
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    Country              |    US
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    Telephone            |    346-999-2986
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    Fax                  |    949-703-8058
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    U2687
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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