MEDICARE: EXTRACTION KING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1699550483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXTRACTION KING PLLC

Provider Business Mailing Address
First Line	:	4501 W EXPRESSWAY 83 # 10
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-0029
Country	:	US
Telephone Number	:	956-627-0525
Fax Number	:	956-322-8982

Provider Business Practice Location Address
First Line	:	4501 W EXPRESSWAY 83 # 10
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-0029
Country	:	US
Telephone Number	:	956-627-0525
Fax Number	:	956-322-8982

Authorized Official
Title or Position	:	OWNER
Name	:	EBERECHUKWU IHEANACHO
Credential	:
Telephone Number	:	956-627-0525

Provider Enumeration Date	:	08/29/2023
Last Update Date	:	08/31/2023

Similar Medicare Providers

1841142684 — MR. YOSHIO IVAN VILLARREAL
Practice Location Address:

4501 W EXPRESSWAY 83
MCALLEN, TX
78503-0029

Practice Phone: 956-321-9740
Practice Fax:

1649315672 — DR. ROXANA LOPEZ D.D.S.
Practice Location Address:

4501 W EXPRESSWAY 83 # 10
MCALLEN, TX
78503-0029

Practice Phone: 956-627-0525
Practice Fax: 956-627-0525

1508365404 — RGV FLOSS PLLC
Practice Location Address:

4501 W EXPRESSWAY 83 # 10
MCALLEN, TX
78503-0029

Practice Phone: 956-627-0525
Practice Fax:

1265092043 — TEXAS FEDERAL WELLNESS CENTER OF MCALLEN PLLC
Practice Location Address:

4501 W EXPRESSWAY 83 STE 50
MCALLEN, TX
78503-0029

Practice Phone: 956-627-0741
Practice Fax: 956-627-0913

1912568593 — CHRISTIAN RIVERA DMD
Practice Location Address:

4501 W EXPY 83 # 10
MCALLEN, TX
78503-0029

Practice Phone: 956-625-0969
Practice Fax:

1922763465 — RICHARD HILL PHYSICIAN ASSISTANT
Practice Location Address:

4501 W EXPY 83
MCALLEN, TX
78503-0029

Practice Phone: 956-627-0741
Practice Fax:

Directions to “EXTRACTION KING PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.