Active NPI
Charles Chibundu Mbonu, MD
- Infectious Disease Physician
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- N3171
- Practice address
- 1002 Texas Blvd Ste 200
Texarkana, TX 75501-5133 - Phone
- (903) 310-4950
- Fax
- (903) 793-8350
- NPI assigned
- Mar 14, 2006
- Last updated
- Aug 26, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N3171 | TX | |
| Infectious Disease Physician | 207RI0200X | N3171 | TX | Primary |
Addresses
Primary practice location
1002 Texas Blvd Ste 200
Texarkana, TX 75501-5133
Mailing address
PO Box 7707
Texarkana, TX 75505-7707
Phone (903) 310-4950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2604 Saint Michael Dr
Suite 310
Texarkana, TX 75503-2378
Phone (903) 614-5050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N3171 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Infectious Diseases, PLLC | Infectious Disease | Current | Accepting new patients |
| Coastal Family Health Center | Past | Accepting new patients | |
| Coastal Family Health Center, Inc | Past | Accepting new patients | |
| Claudia R. Libertin MD LLC | Infectious Disease | Past | Accepting new patients |
| C H Wilkinson Physician Network | Past | Accepting new patients |
Locations
1002 Texas Blvd
Ste 200
Texarkana, TX 75501
Phone (903) 792-1404
2604 Saint Michael Dr
Ste 310
Texarkana, TX 75503
Phone (903) 614-5050
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infectious Disease Physician
- Texarkana, TX
- NPI 1376773168
-
dba CHRISTUS Physician Group
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
- Infectious Disease Physician
- Branford, CT
- NPI 1639291750
-
- Dental Clinic/Center
- Biloxi, MS
- NPI 1225298607
-
dba Coastal Family Health Center, Inc Central Elementary
- Federally Qualified Health Center (FQHC)
- Lucedale, MS
- NPI 1427842913
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
Hospital
-
dba CHRISTUS St. Michael Health System
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1033187299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7707",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755057707",
"telephone_number": "903-310-4950",
"fax_number": "903-793-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 TEXAS BLVD STE 200",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015133",
"telephone_number": "903-310-4950",
"fax_number": "903-793-8350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBONU",
"first_name": "CHARLES",
"middle_name": "CHIBUNDU",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N3171",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "N3171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.