Eckland Medical Clinic | |
3515 Gateway Blvd W El Paso TX 79903-4413 | |
(915) 774-0458 | |
(915) 774-0027 |
Full Name | Eckland Medical Clinic |
---|---|
Speciality | Family Medicine |
Location | 3515 Gateway Blvd W, El Paso, Texas |
Authorized Official Name and Position | Chinwe Nduka (MEDICAL DIRECTOR) |
Authorized Official Contact | 9157740458 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eckland Medical Clinic 125 W Hague Rd Ste 140 El Paso TX 79902-5811 Ph: (915) 774-0458 | Eckland Medical Clinic 3515 Gateway Blvd W El Paso TX 79903-4413 Ph: (915) 774-0458 |
NPI Number | 1568646636 |
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Provider Enumeration Date | 12/24/2007 |
Last Update Date | 07/07/2022 |
Medicare PECOS PAC ID | 4385760198 |
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Medicare Enrollment ID | O20100929001465 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568646636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Chinwe C Nduka |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316946734 PECOS PAC ID: 0143346957 Enrollment ID: I20100929001409 |
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