Provider Demographics
NPI:1154344042
Name:AUGUSTINE O. ELEJE, MD, PA
Entity type:Organization
Organization Name:AUGUSTINE O. ELEJE, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:AUGUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELEJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-533-8797
Mailing Address - Street 1:1700 N OREGON ST
Mailing Address - Street 2:SUITE 780
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3584
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1700 N OREGON ST
Practice Address - Street 2:SUITE 780
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3584
Practice Address - Country:US
Practice Address - Phone:915-533-8797
Practice Address - Fax:915-532-3143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty