| Texas Tech University Health Sciences Center | |
|
9849 Kenworthy St El Paso TX 79924-4402 | |
| (915) 757-3178 | |
| (915) 783-8187 |
| Full Name | Texas Tech University Health Sciences Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9849 Kenworthy St, El Paso, Texas |
| Authorized Official Name and Position | Steven M. Wagner (MANAGING DIRECTOR) |
| Authorized Official Contact | 9157838164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Tech University Health Sciences Center Po Box 9520 El Paso TX 79995-9520 Ph: (915) 783-8164 | Texas Tech University Health Sciences Center 9849 Kenworthy St El Paso TX 79924-4402 Ph: (915) 757-3178 |
| NPI Number | 1831343029 |
|---|---|
| Provider Enumeration Date | 11/14/2008 |
| Last Update Date | 11/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831343029 | NPI | - | NPPES |
| 140114318 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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