MEDICARE: DR. KENECHUKWU O ENELI M.D.

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	207Q00000X	Family Medicine Physician	036-107495	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	N4399	OTHER	TX	TEXAS MEDICAL BOARD

General Provider Information

NPI Number	:	1235151192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENECHUKWU O ENELI M.D.

Provider Business Mailing Address
First Line	:	800 W CENTRAL TEXAS EXPY
Second Line	:	125
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1899
Country	:	US
Telephone Number	:	254-618-1050
Fax Number	:	254-618-1058

Provider Business Practice Location Address
First Line	:	800 W CENTRAL TEXAS EXPY
Second Line	:	125
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1899
Country	:	US
Telephone Number	:	254-618-1050
Fax Number	:	254-618-1058

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	05/19/2014

Similar Medicare Providers

1710984091 — MARK LELAND LOBAUGH MD
Practice Location Address:

800 W CENTRAL TEXAS EXPY , SUITE 200
HARKER HEIGHTS, TX
76548-1899

Practice Phone: 254-519-2229
Practice Fax: 254-519-2231

1497756860 — WILLIAM RICHARD CASHION JR. MD
Practice Location Address:

800 W CENTRAL TEXAS EXPY , STE. 355
HARKER HEIGHTS, TX
76548-1899

Practice Phone: 254-526-2085
Practice Fax: 254-526-9569

1730180290 — ADOLPH MARES JR. MD
Practice Location Address:

800 W CENTRAL TEXAS EXPY , STE. 355
HARKER HEIGHTS, TX
76548-1899

Practice Phone: 254-526-2085
Practice Fax: 254-526-9569

1871595496 — MATTHEW PHILLIPS MD
Practice Location Address:

800 W CENTRAL TEXAS EXPY , STE. 355
HARKER HEIGHTS, TX
76548-1899

Practice Phone: 254-526-2085
Practice Fax: 254-526-9569

1972594281 — MR. RANDY F MCCOLLOUGH MD
Practice Location Address:

800 W CENTRAL TEXAS EXPY , STE. 355
HARKER HEIGHTS, TX
76548-1899

Practice Phone: 254-526-2085
Practice Fax: 254-526-9569

1467402602 — DR. JYOTHI DODLAPATI M.D.
Practice Location Address:

800 W CENTRAL TEXAS EXPY STE 305
HARKER HEIGHTS, TX
76548-1899

Practice Phone: 512-687-2300
Practice Fax: 512-687-2350

Directions to “ DR. KENECHUKWU O ENELI M.D.” 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.