Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northstar Internal Medicine PA

Organization Internal Medicine Physician · NPI 1992058705

Northstar Internal Medicine PA is an Internal Medicine Physician in Grand Prairie, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5720 Appalossa Dr
Grand Prairie, TX 75052-2522
Phone: (817) 717-1299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence N5288 (TX)

Record details

NPI number1992058705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ikechukwu Nwabude — President And Ceo · (469) 209-9110
NPI enumeratedOctober 17, 2012
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024
Mailing address5720 Appalossa Dr, Grand Prairie, TX 75052-2522

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