Provider Demographics
NPI:1073178901
Name:IBE, NDUKAKU DAYTON (MPAS, PA-C)
Entity Type:Individual
Prefix:MR
First Name:NDUKAKU
Middle Name:DAYTON
Last Name:IBE
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Gender:M
Credentials:MPAS, PA-C
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Mailing Address - Street 1:12036 AIRLINE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77037-1006
Mailing Address - Country:US
Mailing Address - Phone:281-447-7900
Mailing Address - Fax:281-447-3841
Practice Address - Street 1:12036 AIRLINE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037-1006
Practice Address - Country:US
Practice Address - Phone:281-447-7900
Practice Address - Fax:281-447-3841
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2021-08-20
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical