NPI Provider: 1427300078
Contact Name: CHUKWU IKEDIEZE
Position: DIRECTOR
Phone: (832) 496-8410
Regent Cross Medical Clinic Pllc Information:
Regent Cross Medical Clinic Pllc organization have npi 1427300078, taxonomy code is 207R00000X with license number is N2442 in . This Business address located in 1393 GEORGE DIETER DR, EL PASO, TX 79936 Texas.
Practice Location
Address: 1393 GEORGE DIETER DR, EL PASO, TX 79936
Phone: (915) 996-9363
Business Location
Address: 1393 GEORGE DIETER DR, EL PASO, TX 79936
Phone: (832) 496-8410
Taxonomy
Taxonomy Code: 207R00000X
License Number: N2442
License Number of State: TX
Primary Taxonomy Switch: Y
Enumeration Date: 10/05/2012
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