MEDICARE: MR. EKELEDILECHUKWU EKELE ANDREWS PA-C

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	363A00000X	Physician Assistant	PA19258	TX
2	363AS0400X	Surgical Physician Assistant	PA19258	TX

General Provider Information

NPI Number	:	1891506713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EKELEDILECHUKWU EKELE ANDREWS PA-C

Provider Business Mailing Address
First Line	:	2615 SOUTHWEST FWY STE 290
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4611
Country	:	US
Telephone Number	:	713-523-8800
Fax Number	:	713-523-8812

Provider Business Practice Location Address
First Line	:	2615 SOUTHWEST FWY STE 290
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4611
Country	:	US
Telephone Number	:	713-523-8800
Fax Number	:	713-523-8812

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

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	08/09/2025

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