| Diabetes And Endocrinology Specialists Of El Paso | |
|
2270 Joe Battle Blvd Ste O El Paso TX 79938 | |
| (915) 856-7000 | |
| (915) 275-0318 |
| Full Name | Diabetes And Endocrinology Specialists Of El Paso |
|---|---|
| Speciality | Internal Medicine |
| Location | 2270 Joe Battle Blvd Ste O, El Paso, Texas |
| Authorized Official Name and Position | Ifeoma Anthonia Egbuonu (PRESIDENT) |
| Authorized Official Contact | 9175257576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes And Endocrinology Specialists Of El Paso 4849 N Mesa St Ste 201 El Paso TX 79912-5919 Ph: (915) 351-6600 | Diabetes And Endocrinology Specialists Of El Paso 2270 Joe Battle Blvd Ste O El Paso TX 79938 Ph: (915) 856-7000 |
| NPI Number | 1396232039 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 08/15/2018 |
| Medicare PECOS PAC ID | 2961757828 |
|---|---|
| Medicare Enrollment ID | O20180618000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396232039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Ifeoma Anthonia Egbuonu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083010060 PECOS PAC ID: 3870848732 Enrollment ID: I20180709000268 |
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