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NPI Code Detail

MEDICARE: ADIMORA EZE

MEDICARE: ADIMORA EZE
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
1146N00000XBasic Emergency Medical Technician726642TX

General Provider Information

NPI Number : 1942041850
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADIMORA EZE
Provider Business Mailing Address
First Line : 13115 WHITTINGTON DR
Second Line : APT 10207
City : HOUSTON
State : TX
Zip : 77077
Country : US
Telephone Number : 832-946-6634
Fax Number :
Provider Business Practice Location Address
First Line : 801 TRAVIS ST STE 2101
Second Line :
City : HOUSTON
State : TX
Zip : 77002-5730
Country : US
Telephone Number : 833-946-6634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2024
Last Update Date : 06/04/2024

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Directions to “ ADIMORA EZE ” Practice Location

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