Provider Demographics
NPI:1003102732
Name:IGBOKWE, EBERENNE F (DO)
Entity Type:Individual
Prefix:DR
First Name:EBERENNE
Middle Name:F
Last Name:IGBOKWE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:11041 SHADOW CREEK PKWY STE 121-212
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7402
Mailing Address - Country:US
Mailing Address - Phone:832-848-0131
Mailing Address - Fax:713-583-4804
Practice Address - Street 1:11041 SHADOW CREEK PKWY STE 121-212
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7402
Practice Address - Country:US
Practice Address - Phone:832-848-0131
Practice Address - Fax:713-583-4804
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP6428207QG0300X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine