| El Paso Sports Medicine Center Llc | |
|
11163 La Quinta Pl Suite C El Paso TX 79936-5255 | |
| (915) 590-9990 | |
| (915) 590-9996 |
| Full Name | El Paso Sports Medicine Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 11163 La Quinta Pl, El Paso, Texas |
| Authorized Official Name and Position | Richard Mccarty (OWNER/MEMBER ATHLETIC TRAINER) |
| Authorized Official Contact | 9155909990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Paso Sports Medicine Center Llc 11163 La Quinta Pl Suite C El Paso TX 79936-5255 Ph: (915) 590-9990 | El Paso Sports Medicine Center Llc 11163 La Quinta Pl Suite C El Paso TX 79936-5255 Ph: (915) 590-9990 |
| NPI Number | 1639486947 |
|---|---|
| Provider Enumeration Date | 09/08/2010 |
| Last Update Date | 09/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639486947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AT4431 (Texas) | Primary |
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