Olobia, Igho C

Olobia, Igho C is an individual health care provider with primary practice located at 541 W Main St Ste 110 , Lewisville TX 75057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Olobia, Igho C can be contacted via phone (469) 702-6633.

Contact Information

Primary practice address
541 W Main St Ste 110 Lewisville TX 75057
Fax: (469) 702-6636
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K4178 Texas

Profile Details

NPI number 1376517524
LBN Legal business name Olobia, Igho C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 22nd, 2019 - about 7 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 1376517524 NPPES
Texas MEDICAID 040592001
Texas MEDICAID 040592007

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