Agunanne, Enoch Echezona

Agunanne, Enoch Echezona is an individual health care provider with primary practice located at 311 W Country Club Rd Ste 1 , Roswell NM 88201-5839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Agunanne, Enoch Echezona can be contacted via phone (575) 625-3400.

Contact Information

Primary practice address
311 W Country Club Rd Ste 1 Roswell NM 88201-5839
Phone: (575) 625-3400
Fax: (575) 625-3415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X L6755 Texas

Profile Details

NPI number 1679576565
LBN Legal business name Agunanne, Enoch Echezona
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 9th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679576565 NPPES
Texas MEDICAID 161539502
Texas MEDICAID 161539501

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