El Paso Center For Pediatric Gastroenterology Pa

LBN: El Paso Center For Pediatric Gastroenterology Pa
El Paso Center For Pediatric Gastroenterology Pa is an health care organization with primary practice located at 2311 N Mesa St Ste C , El Paso TX 79902-3575. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is the primary health care specialty. El Paso Center For Pediatric Gastroenterology Pa can be contacted via phone (915) 269-0064, or through Co, Maridine via phone (915) 269-0064.

Contact Information

Primary practice address
2311 N Mesa St Ste C El Paso TX 79902-3575
Fax:
Website:
Authorized official contact:
Name: Co, Maridine Doctor of Medicine (MD)

Profile Details

NPI number 1194208892
LBN Legal business name El Paso Center For Pediatric Gastroenterology Pa
DBA Doing business as
Authorized official Co, Maridine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2018
Last updated Sep 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194208892 NPPES
Texas MEDICAID 384898803

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