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DESMOND OKEY IKONDU M.D. P.A. NPI 1790932382


NPI Information

NPI: 1790932382
Provider Name: DESMOND OKEY IKONDU, M.D., P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2502 W TRENTON RD
EDINBURG, TX
ZIP 78539
Phone: (956) 630-2119
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DESMOND OKEY IKONDU, M.D., P.A. is a family medicine in Edinburg, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DESMOND OKEY IKONDU, M.D., P.A. NPI is 1790932382. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2502 W TRENTON RD
EDINBURG, TX
ZIP 78539-070
Phone: (956) 630-2119
Fax: (956) 682-6115

The provider's authorized official is Desmond Okey Ikondu .
The authorized official title is M.d., P.a. and has the following contact phone number (956) 630-2119.

The enumeration date for this NPI number is 8/26/2008 and was last updated on 10/14/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineL1348TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100714MMEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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