Pediatric Group Of Central El Paso in El Paso - Adolescent Medicine

Pediatric Group Of Central El Paso - NPI 1962435370

Pediatric Group Of Central El Paso is a Adolescent Medicine in El Paso, Texas. Pediatric Group Of Central El Paso practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Pediatric Group Of Central El Paso is 1962435370. The last update date is 2011-05-17.

Pediatric Group Of Central El Paso's current location address is 5959 Gateway Blvd W, El Paso, Texas. You can contact this provider via phone number 9157791716 and fax number 9157791754. The mailing address for Pediatric Group Of Central El Paso is 5959 Gateway Blvd W, El Paso, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Group Of Central El Paso
Address 5959 Gateway Blvd W, El Paso, Texas
Phone Number 9157791716
Fax Number 9157791754
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHYS
Authorized Official Name Casillas Arturo
Credentials M.D.
Telephone Number 9155770444

NPI Number Detail

NPI Number 1962435370
Provider Enumeration Date 2006-07-09
Last Updated Date 2011-05-17

Provider Mailing Address Detail

Address 5959 Gateway Blvd W
City El Paso
State Texas (TX)
Post Code 799253331
Phone Number 9157791716
Fax Number 9157791754

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00U70B TX BCBS
85741901 TX --

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FAQs about Pediatric Group Of Central El Paso

What is the Pediatric Group Of Central El Paso's 1962435370?

The Pediatric Group Of Central El Paso's NPI (National Provider Identifier) Number is 1962435370. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Pediatric Group Of Central El Paso's physical address?

The Pediatric Group Of Central El Paso is physically located at 5959 Gateway Blvd W, in the city of El Paso, TX, with the postal code 799253331.

What is Pediatric Group Of Central El Paso's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Pediatric Group Of Central El Paso is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 2080A0000X.

On what date did Pediatric Group Of Central El Paso receive its 1962435370 assignment from the Centers for Medicare & Medicaid Services?

The Pediatric Group Of Central El Paso was assigned its 1962435370 on 2006-07-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Pediatric Group Of Central El Paso's information last updated?

The Pediatric Group Of Central El Paso's information was last updated on 2011-05-17.

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