Provider Demographics
NPI:1083615223
Name:OZUMBA, DONALD O (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:O
Last Name:OZUMBA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3523 MCKINNEY AVE # 354
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-1401
Mailing Address - Country:US
Mailing Address - Phone:214-707-4705
Mailing Address - Fax:214-824-7755
Practice Address - Street 1:1015 N CARROLL AVE
Practice Address - Street 2:SUITE #2000
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-6613
Practice Address - Country:US
Practice Address - Phone:214-824-7744
Practice Address - Fax:214-824-7755
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2012-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM1994207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F1348Medicare PIN