Provider Demographics
NPI:1689998767
Name:EGO GROUP INC.
Entity Type:Organization
Organization Name:EGO GROUP INC.
Other - Org Name:EGO CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EBUBE
Authorized Official - Middle Name:GODWIN O
Authorized Official - Last Name:EHIOBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-714-5271
Mailing Address - Street 1:3428 COUNTRY CLUB DR W APT 310
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-8171
Mailing Address - Country:US
Mailing Address - Phone:214-714-5271
Mailing Address - Fax:972-871-1818
Practice Address - Street 1:3428 COUNTRY CLUB DR W APT 310
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-8171
Practice Address - Country:US
Practice Address - Phone:214-714-5271
Practice Address - Fax:972-871-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management