P Praxis·MD
● Active Type 1 · Individual

DR. Noble U. Ezukanma, M.D.

Internal Medicine·Lakeside, TX· NPI 1295705291 · Enumerated 2006 · 20 years on NPI
Ezukanma is 1 of 1 internal medicine providers in Lakeside and 1 of 1318 in Texas.
NPI age
20 years
Enumerated 2006-01-24
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-07-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1318 active internal medicine providers in Texas.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
2
In the 57% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
8401 Jacksboro Hwy, Suite 218
Lakeside, TX 761354351
📞 8173380400fax 8173380401
Mailing address
508 S Adams St, Suite 218
Fort Worth, TX 761042147
📞 8173380400fax 8173380401

Specialties

  • Internal Medicine Primary
    An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex...
    TX license #K8745 taxonomy 207RP1001X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    TX license #K8745 taxonomy 207R00000X
  • Internal Medicine
    An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the...
    TX license #K8745 taxonomy 207RC0200X

Identifiers

TypeValueNotes
05 (TX) 044684101

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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