Individual
DR. ELIAS N EZIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
87 INTERSTATE 10 N STE 221, BEAUMONT, TX 77707-2562
(409) 838-9944
(409) 838-9086
Mailing address
87 INTERSTATE 10 N STE 221, BEAUMONT, TX 77707-2562
(409) 838-9944
(409) 838-9086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
052430
GA
208000000X
Pediatrics Physician
4301076996
MI
208000000X
Pediatrics Physician
Primary
M4774
TX
2080P0208X
Pediatric Infectious Diseases Physician
M4774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193069506
—
TX
05
—
990624171A
—
GA
Enumeration date
07/31/2006
Last updated
08/15/2024
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