| DC Medical Konsult | |
|
11620 Pellicano Dr Ste A El Paso TX 79936-6250 | |
| (915) 701-2495 | |
| (915) 600-7897 |
| Full Name | DC Medical Konsult |
|---|---|
| Speciality | Internal Medicine |
| Location | 11620 Pellicano Dr Ste A, El Paso, Texas |
| Authorized Official Name and Position | Francis C Okeke (CEO) |
| Authorized Official Contact | 3163931536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| DC Medical Konsult 12344 Stansbury Dr El Paso TX 79928-8624 Ph: (316) 393-1536 | DC Medical Konsult 11620 Pellicano Dr Ste A El Paso TX 79936-6250 Ph: (915) 701-2495 |
| NPI Number | 1003432543 |
|---|---|
| Provider Enumeration Date | 06/21/2020 |
| Last Update Date | 11/17/2020 |
| Certification Date | 11/17/2020 |
| Medicare PECOS PAC ID | 6406266774 |
|---|---|
| Medicare Enrollment ID | O20210107002833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003432543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Francis Okeke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386802957 PECOS PAC ID: 0446396626 Enrollment ID: I20210107002859 |
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