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Ebotagborndang Mbi

NPI 1629254925ActiveOrganization· Preferred Provider Organization· Fort Worth, TX

Preferred Provider Organization in Fort Worth, Texas, registered in NPPES in January 2008. The authorized official on file is Ebotagborndang Mbi, Director.

Overview

NPI1629254925
StatusActive
Entity typeOrganization
NPI issuedJan 16, 2008
Last updated in NPPESJan 7, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X—TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Preferred Provider Organization providers in Fort Worth

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