Ezea D. Ede MD
Internal Medicine in Beaumont, TX. Organization (NPI-2).
NPI number1760670517
StatusActive
Last updated in NPPESJun 27, 2008
Details
- NPI
- 1760670517
- Entity type
- Organization (NPI-2)
- Legal business name
- Ezea D. Ede MD
- Organization subpart
- No
- Enumeration date
- Oct 5, 2007
- Last updated
- Jun 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Ochendu Medical Clinic PA (Doing Business As)
Practice location
740 Hospital DrSuite 230
Beaumont, TX 77701-4664
Phone 409-832-6129 · Fax 409-832-6240
Mailing address
740 Hospital DrSuite 230
Beaumont, TX 77701-4664
Phone 409-832-6129 · Fax 409-832-6240
Authorized official
Ezea D Ede
Owner
4098326129
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