Provider Demographics
NPI:1578276010
Name:E&C MED
Entity Type:Organization
Organization Name:E&C MED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EKPO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-765-6899
Mailing Address - Street 1:2629 BRITTANY DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3877
Mailing Address - Country:US
Mailing Address - Phone:972-765-6899
Mailing Address - Fax:
Practice Address - Street 1:375 CEDAR SAGE DR STE 200
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2989
Practice Address - Country:US
Practice Address - Phone:469-809-4247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center