=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689078784
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SUNSET ID CARE P A
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/17/2014
-----------------------------------------------------
Last Update Date | 03/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1201 E SCHUSTER AVE BLDG 7
-----------------------------------------------------
City | EL PASO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79902-4660
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-229-6448
-----------------------------------------------------
Fax | 915-533-3378
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1201 E SCHUSTER AVE BLDG 7
-----------------------------------------------------
City | EL PASO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79902-4660
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-229-6448
-----------------------------------------------------
Fax | 915-533-3378
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | OGECHIKA K ALOZIE
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 915-222-1300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RI0200X
-----------------------------------------------------
Taxonomy Name | Infectious Disease Physician
-----------------------------------------------------
License Number | N6141
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------