Provider Demographics
NPI:1881309391
Name:IFEDIGBO, FRANCIS
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:
Last Name:IFEDIGBO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 WINDHAVEN PKWY APT 2126
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-2108
Mailing Address - Country:US
Mailing Address - Phone:469-766-1680
Mailing Address - Fax:
Practice Address - Street 1:6201 WINDHAVEN PKWY APT 2126
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-2108
Practice Address - Country:US
Practice Address - Phone:469-766-1680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle