Provider Demographics
NPI:1619016631
Name:EL FEKI, AMRO (MD)
Entity Type:Individual
Prefix:
First Name:AMRO
Middle Name:
Last Name:EL FEKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 W MEDICAL CENTER BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4246
Mailing Address - Country:US
Mailing Address - Phone:832-224-4204
Mailing Address - Fax:281-280-0065
Practice Address - Street 1:251 W MEDICAL CENTER BLVD STE 125
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4246
Practice Address - Country:US
Practice Address - Phone:832-224-4204
Practice Address - Fax:281-280-0065
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ45772084N0400X
NM2006-0324207R00000X
IAMD-393242084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX434041YTMROtherMEDICARE
TX350189201Medicaid
IA7160232Medicare PIN
TX434041YTMROtherMEDICARE