| Texas Tech University | |
|
9849 Kenworthy St El Paso TX 79924-4402 | |
| (915) 757-3178 | |
| Not Available |
| Full Name | Texas Tech University |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9849 Kenworthy St, El Paso, Texas |
| Authorized Official Name and Position | Luis Alberto Cardentey (PHYSICIAN IN TRAINING) |
| Authorized Official Contact | 9155813830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Tech University 205 De Leon Dr El Paso TX 79912-4543 Ph: (915) 581-3830 | Texas Tech University 9849 Kenworthy St El Paso TX 79924-4402 Ph: (915) 757-3178 |
| NPI Number | 1144411901 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144411901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 23410660985 (Texas) | Primary |
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