Provider Demographics
NPI:1003432543
Name:DC GASTRO KONSULT
Entity Type:Organization
Organization Name:DC GASTRO KONSULT
Other - Org Name:DC MEDICAL KONSULT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-393-1536
Mailing Address - Street 1:12344 STANSBURY DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-8624
Mailing Address - Country:US
Mailing Address - Phone:316-393-1536
Mailing Address - Fax:915-600-7897
Practice Address - Street 1:11620 PELLICANO DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6250
Practice Address - Country:US
Practice Address - Phone:915-701-2495
Practice Address - Fax:915-600-7897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-21
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty