Provider Demographics
NPI:1245699727
Name:SOUTHWEST VIRAL MED INC
Entity type:Organization
Organization Name:SOUTHWEST VIRAL MED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:OGECHIKA
Authorized Official - Middle Name:KARL
Authorized Official - Last Name:ALOZIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:915-229-6448
Mailing Address - Street 1:1201 E SCHUSTER AVE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4672
Mailing Address - Country:US
Mailing Address - Phone:915-229-6448
Mailing Address - Fax:915-600-2113
Practice Address - Street 1:1201 E SCHUSTER AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4672
Practice Address - Country:US
Practice Address - Phone:915-229-6448
Practice Address - Fax:915-600-2113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6141261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center