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
Fax: (915) 842-9581
Website:

Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356342075 NPPES
Texas Other 00336Z MEDICARE PTAN
Texas MEDICAID 176353401 MEDICARE PTAN

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