Odukwu, Lyden C.

Odukwu, Lyden C. is an individual health care provider with primary practice located at 3305 Andrews Hwy , Midland TX 79703-5130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Odukwu, Lyden C. can be contacted via phone (432) 620-0525.

Contact Information

Primary practice address
3305 Andrews Hwy Midland TX 79703-5130
Phone: (432) 620-0525
Fax: (432) 682-6200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L7830 Texas

Profile Details

NPI number 1043204035
LBN Legal business name Odukwu, Lyden C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Oct 4th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043204035 NPPES
Texas Other 0036MP BCBS
Texas MEDICAID 163781104 BCBS

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