Individual
DR. FELIX EKANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
712 N WOOD ST, GILMER, TX 75644-1751
(903) 841-7100
(903) 841-7219
Mailing address
PO BOX 9879, TYLER, TX 75711-2879
(903) 594-2497
(903) 509-0493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K3171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107276108
—
TX
Enumeration date
06/12/2006
Last updated
07/15/2014
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