Eisenberg, Kenneth Lawrence
Eisenberg, Kenneth Lawrence is an individual health care provider with primary practice located at 1600 Medical Center Dr Ste 212, El Paso TX 79902-5008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Eisenberg, Kenneth Lawrence can be contacted via phone (915) 532-3977.Contact Information
Primary practice address
1600 Medical Center Dr Ste 212
El Paso TX 79902-5008
Phone: (915) 532-3977
Fax: (915) 532-5866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | G1381 | Texas |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G1381 | Texas |
Profile Details
| NPI number | 1659376929 |
|---|---|
| LBN Legal business name | Eisenberg, Kenneth Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jan 31st, 2011 - about 13 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 | 1659376929 | NPPES |
| Texas | MEDICAID | 133925105 |
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