DR. NOBLE U. EZUKANMA M.D.
NPI 1295705291
Internal Medicine - Pulmonary Disease in Lakeside, TX

Active since January 24, 2006
8401 JACKSBORO HWY, SUITE 218, LAKESIDE, TX 76135(817) 338-0400(817) 338-0401 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Noble U. Ezukanma M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NOBLE U. EZUKANMA M.D. (NPI 1295705291) is an individual pulmonary disease provider in Lakeside, Texas, licensed in Texas (K8745) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1295705291
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. NOBLE U. EZUKANMACredential: M.D.
Location Address8401 JACKSBORO HWY, SUITE 218Lakeside, TX 76135-4351
Mailing Address508 S Adams St, Suite 218Fort Worth, TX 76104-2147 · (817) 338-0400 · Fax (817) 338-0401
Fax(817) 338-0401
Sole ProprietorNo
Enumeration DateJanuary 24, 2006
Last NPPES UpdateJuly 23, 2012
NPI 1295705291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · K8745
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License K8745 (TX)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License K8745 (TX)
8401 JACKSBORO HWY, Lakeside, TX 76135

Other Identifiers 5

Medicare UPINF69659TX
Medicare PIN8F8412TX
Medicare PIN8L4765TX
Medicare PIN8F24326TX
Medicaid044684101TX

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
8401 JACKSBORO HWY
LAKESIDE, TX 76135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Noble Ezukanma's NPI number?

The NPI number for Noble Ezukanma is 1295705291. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Noble Ezukanma located?

Noble Ezukanma practices at 8401 Jacksboro Hwy Suite 218, Lakeside, TX 76135. The listed phone number is (817) 338-0400.

What is Noble Ezukanma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Noble Ezukanma was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.