Provider Demographics
NPI:1154685881
Name:NEBOR, ANTHONY EGUAKHIDE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:EGUAKHIDE
Last Name:NEBOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:EGUAKHIDE
Other - Middle Name:
Other - Last Name:INEGBENEBOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:981 STATE HIGHWAY 121 STE 3100
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6149
Mailing Address - Country:US
Mailing Address - Phone:972-526-0007
Mailing Address - Fax:888-905-2543
Practice Address - Street 1:981 STATE HIGHWAY 121 STE 3100
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6149
Practice Address - Country:US
Practice Address - Phone:972-526-0007
Practice Address - Fax:888-905-2543
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2023-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301099967207R00000X, 207RP1001X
TXS1192207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease