Individual
DR. FRED N. EKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 GRANDVIEW AVE, EL PASO, TX 79902-5113
(915) 544-6750
(915) 532-4259
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D0864
TX
207RX0202X
Medical Oncology Physician
D0864
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000V6689
—
NM
05
—
123456901
—
TX
05
—
123456902
—
TX
05
—
123456905
—
TX
01
—
8R1432
BLUE CROSS OF TEXAS
TX
Enumeration date
06/10/2006
Last updated
10/19/2011
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