Amadi, Fidelis Eze
Amadi, Fidelis Eze is an individual health care provider with primary practice located at 4100 Everett Dr Suite 400, Kyle TX 78640-6146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Amadi, Fidelis Eze can be contacted via phone (512) 295-1333.Contact Information
Primary practice address
4100 Everett Dr Suite 400
Kyle TX 78640-6146
Phone: (512) 295-1333
Fax: (512) 295-1335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L9069 | Texas |
Profile Details
| NPI number | 1366425365 |
|---|---|
| LBN Legal business name | Amadi, Fidelis Eze |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Oct 8th, 2013 - about 12 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366425365 | NPPES |
| Texas | MEDICAID | 175790802 | |
| Texas | MEDICAID | 175790801 | |
| Texas | MEDICAID | 175790803 |
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