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NPI Code Detail

MEDICARE: UCHENNA ADUBA MD

MEDICARE: UCHENNA ADUBA 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
1390200000XStudent in an Organized Health Care Education/Training ProgramBP10043586TX
2207R00000XInternal Medicine PhysicianR1333TX

General Provider Information

NPI Number : 1275881591
Entity Type Code : Individual
Provider Name (Legal Business Name) : UCHENNA ADUBA MD
Provider Business Mailing Address
First Line : 3807 E BROAD ST STE 101
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5623
Country : US
Telephone Number : 817-717-9597
Fax Number :
Provider Business Practice Location Address
First Line : 3807 E BROAD ST STE 101
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5623
Country : US
Telephone Number : 817-717-9597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2012
Last Update Date : 05/18/2026

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Directions to “ UCHENNA ADUBA MD” Practice Location

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