MEDICARE: NICKES MEDICAL SUPPLY, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1447716782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NICKES MEDICAL SUPPLY, LLC

Provider Business Mailing Address
First Line	:	2820 N STANTON ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-2509
Country	:	US
Telephone Number	:	915-633-3724
Fax Number	:	915-633-3724

Provider Business Practice Location Address
First Line	:	2820 N STANTON ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-2509
Country	:	US
Telephone Number	:	915-633-3724
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	NGOZI KATHLEEN AUSTIN-ELEJE
Credential	:
Telephone Number	:	915-533-8870

Provider Enumeration Date	:	02/12/2019
Last Update Date	:	02/12/2019

Similar Medicare Providers

1427111780 — NICKES MEDICAL SUPPLY, LLC
Practice Location Address:

2820 N STANTON ST
EL PASO, TX
79902-2509

Practice Phone: 915-533-8870
Practice Fax:

1841935897 — DENICE ADRIANA TERRY LPC-ASSOCIATE
Practice Location Address:

8112 TURQUOISE ST
EL PASO, TX
79904-2509

Practice Phone: 915-246-7465
Practice Fax:

1912721135 — LUIS ALFREDO SIGALA
Practice Location Address:

3826 ALAMEDA AVE
EL PASO, TX
79905-2509

Practice Phone: 915-250-7725
Practice Fax:

1003025768 — DR. ALICIA GRACIELA FRANCO PH.D.
Practice Location Address:

237 CALLE FLAMBOYAN , CLINICA PARA EL CUIDADO Y TRATAMIENTO DE LA CONDUCTA
LAJAS, PR
00667-2509

Practice Phone: 787-808-1835
Practice Fax: 787-899-1835

1265682777 — RUCHIKA MEHTA
Practice Location Address:

1127 CONTRA COSTA DR
EL CERRITO, CA
94530-2509

Practice Phone: 510-575-9136
Practice Fax:

1396279675 — MICHELE CAVIN
Practice Location Address:

572 FLETCHER PKWY
EL CAJON, CA
92020-2509

Practice Phone: 619-440-3701
Practice Fax:

Directions to “NICKES MEDICAL SUPPLY, LLC ” 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.