| Southwest Cardiovascular Intervention Clinic, Pa | |
|
1508 N Zaragoza Rd Ste Abcd El Paso TX 79936-8034 | |
| (915) 298-5425 | |
| (915) 298-5430 |
| Full Name | Southwest Cardiovascular Intervention Clinic, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1508 N Zaragoza Rd Ste Abcd, El Paso, Texas |
| Authorized Official Name and Position | Chikezie Chidiebere Amadi (PRESIDENT) |
| Authorized Official Contact | 9153739066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Cardiovascular Intervention Clinic, Pa 1508 N Zaragoza Rd Ste Abcd El Paso TX 79936-8034 Ph: (915) 298-5425 | Southwest Cardiovascular Intervention Clinic, Pa 1508 N Zaragoza Rd Ste Abcd El Paso TX 79936-8034 Ph: (915) 298-5425 |
| NPI Number | 1457517617 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 11/09/2022 |
| Medicare PECOS PAC ID | 0749340974 |
|---|---|
| Medicare Enrollment ID | O20081118000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457517617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | M9797 (Texas) | Primary |
| Provider Name | Chikezie C Amadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487616918 PECOS PAC ID: 5799729638 Enrollment ID: I20081117000850 |
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