| Organization Name: | CITY OF EL PASO TEXAS |
| NPI Number: | 1366864191 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLYDE GOODBAR (BILLING MANAGER) |
| Mailing Address: | 5115 El Paso Drive Suite B, Clinic A El Paso |
| State: | TX US |
| Postal Code: | 799052818 |
| Phone Number: | 9157715779 |
| Fax Number: | 9157715893 |
| NPI Enumeration Date: | 01/14/2014 |
| NPI Last Update Date: | 01/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |