Organization Name: | CITY OF EL PASO |
NPI Number: | 1770613572 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLYDE GOODBAR (MEDICAL BILLING SUPV) |
Mailing Address: | 5115 El Paso Drive El Paso |
State: | TX US |
Postal Code: | 799052818 |
Phone Number: | 9157715779 |
Fax Number: | 9157715893 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |