| Gastrocare Of El Paso | |
|
3270 Joe Battle Blvd Ste 245 El Paso TX 79938-2639 | |
| (915) 702-0165 | |
| (915) 702-0167 |
| Full Name | Gastrocare Of El Paso |
|---|---|
| Speciality | Internal Medicine |
| Location | 3270 Joe Battle Blvd, El Paso, Texas |
| Authorized Official Name and Position | Ikenna I Egbuna (CEO) |
| Authorized Official Contact | 9157020165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrocare Of El Paso 3270 Joe Battle Blvd Ste 245 El Paso TX 79938-2639 Ph: (915) 702-0165 | Gastrocare Of El Paso 3270 Joe Battle Blvd Ste 245 El Paso TX 79938-2639 Ph: (915) 702-0165 |
| NPI Number | 1851763510 |
|---|---|
| Provider Enumeration Date | 10/21/2015 |
| Last Update Date | 04/22/2020 |
| Medicare PECOS PAC ID | 2466753421 |
|---|---|
| Medicare Enrollment ID | O20151216000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851763510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ikenna Egbuna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598805574 PECOS PAC ID: 0648368910 Enrollment ID: I20151216000685 |
| Provider Name | Danika Nikole Davila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952914087 PECOS PAC ID: 0840685376 Enrollment ID: I20220321001674 |
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