| El Paso Neurological Institute, Pa | |
|
3270 Joe Battle Blvd 235 El Paso TX 79938-2639 | |
| (915) 504-6890 | |
| Not Available |
| Full Name | El Paso Neurological Institute, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3270 Joe Battle Blvd, El Paso, Texas |
| Authorized Official Name and Position | Kwazi Adzotor (DIRECTOR/MD) |
| Authorized Official Contact | 9155046890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Paso Neurological Institute, Pa 5959 Gateway Blvd W 120 El Paso TX 79925-3331 Ph: (915) 779-1716 | El Paso Neurological Institute, Pa 3270 Joe Battle Blvd 235 El Paso TX 79938-2639 Ph: (915) 504-6890 |
| NPI Number | 1477845683 |
|---|---|
| Provider Enumeration Date | 05/05/2011 |
| Last Update Date | 08/29/2011 |
| Medicare PECOS PAC ID | 2466621503 |
|---|---|
| Medicare Enrollment ID | O20110808000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477845683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N8602 (Texas) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | N8602 (Texas) | Primary |
| Provider Name | Kwasi Adzotor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063631281 PECOS PAC ID: 5597848655 Enrollment ID: I20080212000650 |
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