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NPI Code Detail

MEDICARE: ALPHA & OMGEA WELLNESS CENTER

MEDICARE: ALPHA & OMGEA WELLNESS CENTER
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
1111N00000XChiropractor7101TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17101OTHERTXLICENSENUMBER

General Provider Information

NPI Number : 1356411581
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALPHA & OMGEA WELLNESS CENTER
Provider Business Mailing Address
First Line : 3333 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-2031
Country : US
Telephone Number : 915-494-4468
Fax Number : 915-833-8163
Provider Business Practice Location Address
First Line : 3333 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-2031
Country : US
Telephone Number : 915-494-4468
Fax Number : 915-833-8163
Authorized Official
Title or Position : OWNER
Name : MARUIS RUJA
Credential : DC
Telephone Number : 915-494-4468
Provider Enumeration Date : 11/08/2006
Last Update Date : 08/08/2008

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Directions to “ALPHA & OMGEA WELLNESS CENTER ” 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.

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