Dc Medical Konsult | |
11620 Pellicano Dr Ste A El Paso TX 79936-6250 | |
(915) 701-2495 | |
(915) 600-7897 |
Full Name | Dc Medical Konsult |
---|---|
Speciality | Internal Medicine |
Location | 11620 Pellicano Dr Ste A, El Paso, Texas |
Authorized Official Name and Position | Francis C Okeke (CEO) |
Authorized Official Contact | 3163931536 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dc Medical Konsult 12344 Stansbury Dr El Paso TX 79928-8624 Ph: (316) 393-1536 | Dc Medical Konsult 11620 Pellicano Dr Ste A El Paso TX 79936-6250 Ph: (915) 701-2495 |
NPI Number | 1003432543 |
---|---|
Provider Enumeration Date | 06/21/2020 |
Last Update Date | 11/17/2020 |
Medicare PECOS PAC ID | 6406266774 |
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Medicare Enrollment ID | O20210107002833 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003432543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Francis Okeke |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386802957 PECOS PAC ID: 0446396626 Enrollment ID: I20210107002859 |
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