Healthcare Provider Details

I. General information

NPI: 1649242850
Provider Name (Legal Business Name): FATIH OZCELEBI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 07/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 S JACKSON RD STE 11
MCALLEN TX
78503
US

IV. Provider business mailing address

1900 S JACKSON RD STE 11
MCALLEN TX
78503-1589
US

V. Phone/Fax

Practice location:
  • Phone: 956-661-1333
  • Fax: 956-661-1334
Mailing address:
  • Phone: 956-661-1333
  • Fax: 956-661-1334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberK0151
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: