CHARLES CHIBUNDU MBONU (NPI# 1033187299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033187299 |
Entity Type | Individual |
Full Name | CHARLES CHIBUNDU MBONU |
Credential | MD |
Practice Address |
2604 St. Michael Drive Suite 310 Texarkana TX 75503 |
Mailing Address |
P.o. Box 7707 Texarkana TX 75505 |
Practice Telephone | 9036145001 |
Practice Fax Number | 9036145077 |
Mailing Telephone | 9036145001 |
Mailing Fax Number | 9036145077 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2014-12-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | N3171 | TX | Allopathic & Osteopathic Physicians |
Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
N3171 | TX | Allopathic & Osteopathic Physicians |
Street Address |
2604 ST. MICHAEL DRIVE SUITE 310 |
City | TEXARKANA |
State | TX |
Zip Code | 75503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376773168 | Integrated Infectious Diseases, Pllc | Internal Medicine | 2604 St. Michael Drive, Suite 310, Texarkana, TX 75503 | 2009-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
Find all providers in zip 75503 |
Taxonomy Code | 207RI0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Infectious Disease |
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376773168 | Integrated Infectious Diseases, Pllc | Internal Medicine | 2604 St. Michael Drive, Suite 310, Texarkana, TX 75503 | 2009-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871117838 | Infectious Disease Associates of Greater Houston LLC | Internal Medicine | 22999 Highway 59 N Ste 419, Kingwood, TX 77339-4502 | 2020-06-04 |
1528681566 | Ronak J Patel Md Pllc | Internal Medicine | 13567 Leeson Ln, Frisco, TX 75035-0806 | 2020-05-26 |
1023656865 | Faiza Tahir Md Pa | Internal Medicine | 500 N Kobayashi Ste B, Webster, TX 77598-4722 | 2019-12-11 |
1326681396 | First Choice Group LLC | Internal Medicine | 5866 S Staples St Ste 345, Corpus Christi, TX 78413-3700 | 2019-10-23 |
1063979482 | Prolixant Therapeutics LLC | Internal Medicine | 711 W 38th St Ste C8, Austin, TX 78705-1137 | 2019-02-21 |
1710459813 | Soofi Institute of Infectious Diseases & Wound Management Pllc | Internal Medicine | 3106 Acorn Wood Way, Houston, TX 77059-5826 | 2018-12-30 |
1073084299 | Ricardo Quezada Real Md Pllc | Internal Medicine | 951 York Dr Ste 103, Desoto, TX 75115-2052 | 2018-12-16 |
1598235194 | Idexpertcare Pa | Internal Medicine | 11797 South Fwy Ste 238, Burleson, TX 76028-7035 | 2018-11-27 |
1497237028 | Fred P Paleologo | Internal Medicine | 32631 Ryder Cup, Magnolia, TX 77354-6862 | 2018-08-30 |
1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.