Organization
EZEA D. EDE MD
Active
Other names
Ochendu Medical Clinic PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EZEA D EDE MD (OWNER)
(409) 832-6129
Entity
Organization
Contact information
Practice address
740 HOSPITAL DR, SUITE 230, BEAUMONT, TX 77701-4664
(409) 832-6129
(409) 832-6240
Mailing address
740 HOSPITAL DR, SUITE 230, BEAUMONT, TX 77701-4664
(409) 832-6129
(409) 832-6240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128213903
—
TX
Enumeration date
10/05/2007
Last updated
06/27/2008
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