El Paso Physician Group Pa is a
Internal Medicine based in El Paso, Texas. El Paso Physician Group Pa is licensed to practice in * (Not Available) (license number ) and their current practice location is
1626 Medical Center Dr, 5th Floor, Suite 503, El Paso, Texas. It can be reached at their office (for appointments etc.) via phone at
(915) 546-9200.
NPI number for El Paso Physician Group Pa is 1679524011 and their current mailing address is 9229 Lbj Fwy, Suite 250, Dallas, Texas. El Paso Physician Group Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1679524011.
Healthcare Provider's Profile
| Full Name | El Paso Physician Group Pa |
|---|
| Type | Facility |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 1626 Medical Center Dr, El Paso, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679524011
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 06/10/2008
Medical Identifiers
Medical identifiers for El Paso Physician Group Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679524011 | NPI | - | NPPES |
| 162360502 | Medicaid | TX | |
| 162360503 | Medicaid | TX | |
| 98535331 | Medicaid | NM | |
| 0042KP | Other | TX | BCBS |
| 162360501 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. El Paso Physician Group Pa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
El Paso Physician Group Pa
9229 Lbj Fwy, Suite 250,
Dallas, TX 75243-3405
Ph: (972) 739-3097 | El Paso Physician Group Pa
1626 Medical Center Dr, 5th Floor, Suite 503,
El Paso, TX 79902-5010
Ph: (915) 546-9200 |
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