1235142423 NPI number — CITY OF EL PASO TEXAS

Table of content: (NPI 1235142423)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235142423 NPI number — CITY OF EL PASO TEXAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF EL PASO TEXAS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235142423
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/03/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5115 EL PASO DR STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EL PASO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79905-2818
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-212-6512
Provider Business Mailing Address Fax Number:
915-212-0168

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5115 EL PASO DR STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79905-2818
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-212-6609
Provider Business Practice Location Address Fax Number:
915-212-0172
Provider Enumeration Date:
08/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CORTINAS
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
915-212-1067

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QP0905X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 065086301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 120978503 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com