Active NPI
Ezukanma Group of Companies Inc
- Pulmonary Disease Physician
- Fort Worth, TX
National Provider Identifier
1508069121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- K8745
- Legal business name
- EZUKANMA GROUP OF COMPANIES INC
- Practice address
- 508 S Adams St
Suite 100
Fort Worth, TX 76104-2147 - Phone
- (817) 882-9901
- Fax
- (817) 882-8135
- NPI assigned
- Jun 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noble Ezukanma, M.D.
- Title
- President
- Phone
- (817) 882-9901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | K8745 | TX | Primary |
Addresses
Primary practice location
508 S Adams St
Suite 100
Fort Worth, TX 76104-2147
Mailing address
117 King Ranch CT
Fort Worth, TX 76108-9593
Phone (817) 882-9901
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508069121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 KING RANCH CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761089593",
"telephone_number": "817-882-9901",
"fax_number": "817-882-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 S ADAMS ST",
"address_2": "SUITE 100",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042147",
"telephone_number": "817-882-9901",
"fax_number": "817-882-8135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EZUKANMA GROUP OF COMPANIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EZUKANMA",
"authorized_official_first_name": "NOBLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-882-9901",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "K8745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.