Organization Name: | EL PASO LEADERSHIP ACADEMY |
NPI Number: | 1063803294 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICTOR OMAR YANAR (CEO / CO-FOUNDER) |
Mailing Address: | 1918 Texas Ave El Paso |
State: | TX US |
Postal Code: | 799011917 |
Phone Number: | 9152983900 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2015 |
NPI Last Update Date: | 02/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |