Organization · Type 2 NPI

Ikechukwu Osuji, M.d PA

Medical Specialty Clinic/Center · Desoto, TX

NPI number 1407994056 Active

Practice location

1110 E. Pleasant Run Road
Desoto, TX 75115

Fax (972) 230-8810

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XK6669 (TX)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

About NPI 1407994056

Ikechukwu Osuji, M.d PA's National Provider Identifier is 1407994056, issued on Feb 2, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Desoto, TX. The record was last updated on Sep 11, 2025.