Provider Demographics
NPI:1407019276
Name:IBE, NGOZI (MD)
Entity Type:Individual
Prefix:DR
First Name:NGOZI
Middle Name:
Last Name:IBE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 389022
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-9022
Mailing Address - Country:US
Mailing Address - Phone:615-778-8544
Mailing Address - Fax:615-628-6877
Practice Address - Street 1:13635 MICHEL RD
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-6410
Practice Address - Country:US
Practice Address - Phone:832-843-5086
Practice Address - Fax:832-843-5090
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.099296207V00000X
TXQ6207207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology