Individual
AMMAR FADLALLA ELJACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1840 JOE BATTLE BLVD, EL PASO, TX 79936-0962
(915) 249-4344
(915) 307-2765
Mailing address
1840 JOE BATTLE BLVD, EL PASO, TX 79936-0962
(915) 249-4344
(915) 307-2765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301112401
MI
207RC0000X
Cardiovascular Disease Physician
BP10070346
TX
207RI0011X
Interventional Cardiology Physician
Primary
41229
OK
Other
Enumeration date
06/18/2017
Last updated
06/12/2025
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