Provider Demographics
NPI:1972926822
Name:FRANCIS C OGBONNA
Entity Type:Organization
Organization Name:FRANCIS C OGBONNA
Other - Org Name:STARMOBILE XRAYS AND EKG SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-322-0048
Mailing Address - Street 1:207 E CAMP WISDOM RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-2770
Mailing Address - Country:US
Mailing Address - Phone:972-322-0048
Mailing Address - Fax:
Practice Address - Street 1:207 E CAMP WISDOM RD
Practice Address - Street 2:SUITE E
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-2770
Practice Address - Country:US
Practice Address - Phone:972-322-0048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier