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Smart Idemudia, M.D., PHD
NPI 1154364974 · on the registry since 2006 · sole proprietor
Practice
- Address
- 200 W. Southwest Pkwy
Lewisville, TX 75067 - Phone
- (972) 420-6777
- Fax
- (972) 420-0656
- Organisation at this address
- Grace Medical Association, Pa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Also registered as
- Family Medicine Physician
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-05
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas