Individual
IKECHUKWU IFEANYI ONYEDIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4646 N MESA ST, EL PASO, TX 79912-6104
(915) 313-6300
(915) 521-2028
Mailing address
4646 N MESA ST, EL PASO, TX 79912-6104
(915) 313-6300
(915) 521-2028
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
R1096
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1096
TEXAS MEDICAL LICENSE
TX
Enumeration date
07/02/2008
Last updated
01/17/2017
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