Individual provider Active NPI

Tagbo Charles Nduka, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Longview, TX
National Provider Identifier
1811746498
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
BP10088601 Issued in TX
Practice address
Christus Health
700 East Marshall Avenue
Longview, TX 75601
Phone
(903) 315-1696
NPI assigned
May 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10088601 TX Primary

Addresses

Primary practice location

Christus Health
700 East Marshall Avenue
Longview, TX 75601

Mailing address

10901 Meadowglen Lane
Apt 143
Houston, TX 77042
Phone (281) 965-0395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: tnduka383341@christushealth.direct-ci.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1811746498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 MEADOWGLEN LANE",
            "address_2": "APT 143",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77042",
            "telephone_number": "281-965-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHRISTUS HEALTH",
            "address_2": "700 EAST MARSHALL AVENUE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75601",
            "telephone_number": "903-315-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUKA",
        "first_name": "TAGBO",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10088601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.