Individual
IFEANYI EMMANUEL ELUEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
103 W LOOP 281, SUITE 700, LONGVIEW, TX 75605-4653
(903) 315-5600
(903) 315-2757
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207
(903) 315-5600
(903) 315-2757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35073719
OH
207R00000X
Internal Medicine Physician
Primary
P0046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2064788
—
OH
Enumeration date
10/18/2005
Last updated
09/23/2013
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