| Buzyke Alliance Llc | |
|
3885 Foothills Rd Suite B Las Cruces NM 88011-4672 | |
| (575) 556-9837 | |
| Not Available |
| Full Name | Buzyke Alliance Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3885 Foothills Rd, Las Cruces, New Mexico |
| Authorized Official Name and Position | Chibuzo Ukaegbu (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 5755569837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buzyke Alliance Llc Po Box 13969 Las Cruces NM 88013-3969 Ph: () - | Buzyke Alliance Llc 3885 Foothills Rd Suite B Las Cruces NM 88011-4672 Ph: (575) 556-9837 |
| NPI Number | 1699193656 |
|---|---|
| Provider Enumeration Date | 04/06/2014 |
| Last Update Date | 07/07/2018 |
| Medicare PECOS PAC ID | 1153540026 |
|---|---|
| Medicare Enrollment ID | O20140909000754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699193656 | NPI | - | NPPES |
| 16678818 | Medicaid | NM |
| Provider Name | Chibuzo O Ukaegbu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104011444 PECOS PAC ID: 1759430812 Enrollment ID: I20090519000682 |
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