Sunset Id Care P A | |
1205 N Oregon St El Paso TX 79902-4023 | |
(915) 996-1202 | |
Not Available |
Full Name | Sunset Id Care P A |
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Speciality | Internal Medicine |
Location | 1205 N Oregon St, El Paso, Texas |
Authorized Official Name and Position | Ogechika K Alozie (PRESIDENT) |
Authorized Official Contact | 9159961202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sunset Id Care P A 4849 N Mesa St Ste 201 El Paso TX 79912-5916 Ph: (915) 351-6600 | Sunset Id Care P A 1205 N Oregon St El Paso TX 79902-4023 Ph: (915) 996-1202 |
NPI Number | 1689078784 |
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Provider Enumeration Date | 10/17/2014 |
Last Update Date | 10/20/2014 |
Medicare PECOS PAC ID | 2062736887 |
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Medicare Enrollment ID | O20150126001494 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689078784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | N6141 (Texas) | Primary |
Provider Name | Ogechika Karl Alozie |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1891961884 PECOS PAC ID: 9234269143 Enrollment ID: I20100618000495 |
Provider Name | Jhoana P Quezada |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386287332 PECOS PAC ID: 5294169983 Enrollment ID: I20200106002573 |
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