Provider Demographics
NPI:1629335039
Name:EJIOFOR, JULIUS I (MD)
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:I
Last Name:EJIOFOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 ALLIANCE BLVD.
Mailing Address - Street 2:PAVILION I, SUITE 540
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:469-800-6214
Mailing Address - Fax:469-800-6210
Practice Address - Street 1:4708 ALLIANCE BLVD.
Practice Address - Street 2:PAVILION I, SUITE 540
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:469-800-6214
Practice Address - Fax:469-800-6210
Is Sole Proprietor?:No
Enumeration Date:2012-04-23
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT2358208G00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program