| Ysleta General Hospital, Inc. | |
|
128 N Zaragoza Rd El Paso TX 79907-5565 | |
| (915) 859-7901 | |
| (915) 859-7902 |
| Full Name | Ysleta General Hospital, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 128 N Zaragoza Rd, El Paso, Texas |
| Authorized Official Name and Position | Pedro A Ortega (PHYSICIAN) |
| Authorized Official Contact | 9158597901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ysleta General Hospital, Inc. 128 N Zaragoza Rd El Paso TX 79907-5565 Ph: (915) 859-7901 | Ysleta General Hospital, Inc. 128 N Zaragoza Rd El Paso TX 79907-5565 Ph: (915) 859-7901 |
| NPI Number | 1710110069 |
|---|---|
| Provider Enumeration Date | 09/02/2009 |
| Last Update Date | 09/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710110069 | NPI | - | NPPES |
| 032157201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0993 (Texas) | Primary |
| 208600000X | Surgery | D0993 (Texas) | Secondary |
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