DR. NOBLE U. EZUKANMA M.D. NPI 1295705291

NPI Information

  • NPI: 1295705291
  • Provider Name: DR. NOBLE U. EZUKANMA, M.D.
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • Address: 8401 JACKSBORO HWY
    SUITE 218
    LAKESIDE, TX
    ZIP 76135
  • Phone: (817) 338-0400

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NPI Details

DR. Noble U. Ezukanma, M.D. is a pulmonary disease internal medicine in Lakeside, TX. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Noble U. Ezukanma, M.D. NPI is 1295705291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8401 JACKSBORO HWY
SUITE 218
LAKESIDE, TX
ZIP 76135-351
Phone: (817) 338-0400
Fax: (817) 338-0401

The enumeration date for this NPI number is 1/24/2006 and was last updated on 7/23/2012.

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
1207R00000XInternal MedicineK8745TEXASNo
2207RC0200XInternal MedicineCritical Care MedicineK8745TEXASNo
3207RP1001XInternal MedicinePulmonary DiseaseK8745TEXASYes

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
1F69659MEDICARE UPINTEXAS
28F8412MEDICARE PINTEXAS
38L4765MEDICARE PINTEXAS
48F24326MEDICARE PINTEXAS
5044684101MEDICAIDTEXAS

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: 11/21/2025

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