Individual
AUGUSTINE O ELEJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 N OREGON ST, SUITE 780, EL PASO, TX 79902-3584
(915) 533-8225
(866) 823-8302
Mailing address
1700 N OREGON ST, SUITE 780, EL PASO, TX 79902-3584
(915) 533-8225
(866) 823-8302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L1567
TX
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
L1567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1567
PHYSICIAN LICENSE
TX
Enumeration date
05/31/2006
Last updated
06/24/2014
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