Provider Demographics
NPI:1245468354
Name:EZIEFULE, AKWUGO ADANNA (MD)
Entity type:Individual
Prefix:
First Name:AKWUGO
Middle Name:ADANNA
Last Name:EZIEFULE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9311 MEADOW BRANCH CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2754
Mailing Address - Country:US
Mailing Address - Phone:281-660-1094
Mailing Address - Fax:
Practice Address - Street 1:7950 FLOYD CURL DR STE 904
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3926
Practice Address - Country:US
Practice Address - Phone:210-226-7827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-26
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5399207V00000X, 207VM0101X
NMMD2018-0542207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology