Provider Demographics
NPI:1407022957
Name:MOLOKWU, JENNIFER CHIBOGU (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CHIBOGU
Last Name:MOLOKWU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5130 GATEWAY BLVD E # 51015
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-1608
Mailing Address - Country:US
Mailing Address - Phone:915-215-4480
Mailing Address - Fax:915-215-5386
Practice Address - Street 1:9849 KENWORTHY ST
Practice Address - Street 2:TTUHSC FAMILY MEDICAL CENTER
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-4402
Practice Address - Country:US
Practice Address - Phone:915-745-4410
Practice Address - Fax:915-751-4378
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN7725207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN20189OtherRESIDENT PERMIT
TX80176832OtherDPS
TXN7725OtherSTATE LICENSE