Individual
FIDELIS EZE AMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 EVERETT DR, SUITE 400, KYLE, TX 78640-6146
(512) 295-1333
(512) 295-1335
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L9069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175790801
—
TX
05
—
175790802
—
TX
05
—
175790803
—
TX
Enumeration date
11/22/2005
Last updated
10/08/2013
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