El Paso Vascular P A

LBN: El Paso Vascular P A
El Paso Vascular P A is an health care organization with primary practice located at 4532 N Mesa St , El Paso TX 79912. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. El Paso Vascular P A can be contacted via phone (915) 577-8346, or through Gomez, Edward via phone (915) 577-8346.

Contact Information

Primary practice address
4532 N Mesa St El Paso TX 79912
Fax: (915) 577-7932
Website:
Authorized official contact:
Name: Gomez, Edward Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X H3816 Texas

Profile Details

NPI number 1245772987
LBN Legal business name El Paso Vascular P A
DBA Doing business as
Authorized official Gomez, Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2016
Last updated Aug 27th, 2018 - about 6 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 1245772987 NPPES
Texas Other 00679D MEDICARE PTAN
Texas MEDICAID 030882701 MEDICARE PTAN

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