1689867640 NPI number — PRN NURSING AGENCY OF EL PASO

Table of content: (NPI 1689867640)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689867640 NPI number — PRN NURSING AGENCY OF EL PASO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRN NURSING AGENCY OF EL PASO
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:
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:
1689867640
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/29/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9530 VISCOUNT BLVD STE 1G
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:
79925-7055
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-329-4163
Provider Business Mailing Address Fax Number:
915-594-4640

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9530 VISCOUNT BLVD
Provider Second Line Business Practice Location Address:
STE. 1G
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79925-7050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-329-4163
Provider Business Practice Location Address Fax Number:
915-594-4640
Provider Enumeration Date:
08/23/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WIRZ
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
CARMEN
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
915-329-4163

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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