Dejesus-Perdomo, Eduardo M

Dejesus-Perdomo, Eduardo M is an individual health care provider with primary practice located at 7812 Gateway Blvd E Ste 230, El Paso TX 79915-1802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dejesus-Perdomo, Eduardo M can be contacted via phone (915) 592-8223.

Contact Information

Primary practice address
7812 Gateway Blvd E Ste 230 El Paso TX 79915-1802
Phone: (915) 592-8223
Fax: (915) 592-8328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J8988 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X J8988 Texas

Profile Details

NPI number 1639179690
LBN Legal business name Dejesus-Perdomo, Eduardo M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 15th, 2022 - about 2 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 1639179690 NPPES
Texas MEDICAID 111685702
Texas MEDICAID 52383822
Texas Other 8AW610
Texas Other 8U6945
Texas MEDICAID 111685703
Texas MEDICAID 111685705
Texas Other P00371198
Texas Other 110166787
Texas MEDICAID 111685704

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