CHARLES CHIBUNDU MBONU


Address: 2604 St. Michael Drive, Suite 310, Texarkana, TX 75503
Phone: 9036145001

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2604 ST. MICHAEL DRIVE
SUITE 310
City TEXARKANA
State TX
Zip Code 75503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376773168 Integrated Infectious Diseases, Pllc Internal Medicine 2604 St. Michael Drive, Suite 310, Texarkana, TX 75503 2009-07-15

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376773168 Integrated Infectious Diseases, Pllc Internal Medicine 2604 St. Michael Drive, Suite 310, Texarkana, TX 75503 2009-07-15

Providers in the same taxonomy and state

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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Competitor

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City TEXARKANA
Zip Code 75503

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Dataset Information

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.

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