Individual
DR. IKEDIEZE IGWE CHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11620 PELLICANO DR., STE A, EL PASO, TX 79936-7410
(915) 996-9363
(915) 613-5496
Mailing address
11620 PELLICANO DR., STE A, EL PASO, TX 79936-7410
(915) 996-9363
(915) 613-5496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N2442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211331803
—
TX
Enumeration date
07/02/2007
Last updated
07/26/2024
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