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NPI Code Detail

MEDICARE: SUNSET ID CARE P A

MEDICARE: SUNSET ID CARE P A
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
1207RI0200XInfectious Disease PhysicianN6141TX

General Provider Information

NPI Number : 1689078784
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSET ID CARE P A
Provider Business Mailing Address
First Line : 1201 E SCHUSTER AVE BLDG 7
Second Line :
City : EL PASO
State : TX
Zip : 79902-4660
Country : US
Telephone Number : 915-229-6448
Fax Number : 915-533-3378
Provider Business Practice Location Address
First Line : 1201 E SCHUSTER AVE BLDG 7
Second Line :
City : EL PASO
State : TX
Zip : 79902-4660
Country : US
Telephone Number : 915-229-6448
Fax Number : 915-533-3378
Authorized Official
Title or Position : PRESIDENT
Name : OGECHIKA K ALOZIE
Credential : MD
Telephone Number : 915-222-1300
Provider Enumeration Date : 10/17/2014
Last Update Date : 03/10/2025

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Directions to “SUNSET ID CARE P A ” Practice Location

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