Borrego, Ed Jose
Borrego, Ed Jose is an sole proprietor health care provider with primary practice located at 5750 N Mesa St , El Paso TX 79912-5427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Borrego, Ed Jose can be contacted via phone (915) 842-9585.Contact Information
Primary practice address
5750 N Mesa St
El Paso TX 79912-5427
Phone: (915) 842-9585
Fax: (915) 842-9581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | M0670 | Texas |
Profile Details
| NPI number | 1356342075 |
|---|---|
| LBN Legal business name | Borrego, Ed Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Feb 16th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356342075 | NPPES |
| Texas | Other | 00336Z | MEDICARE PTAN |
| Texas | MEDICAID | 176353401 | MEDICARE PTAN |
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