Injury Medical Clinic Pa
LBN: Injury Medical Clinic Pa
Injury Medical Clinic Pa is an health care organization with primary practice located at 11860 Vista Del Sol Dr # 128 , El Paso TX 79936-6128. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Managed Care Organizations / Preferred Provider Organization. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Injury Medical Clinic Pa can be contacted via phone (915) 413-6677, or through Jimenez, Alexander David via phone (915) 412-6677.
Contact Information
Primary practice address
11860 Vista Del Sol Dr # 128
El Paso TX 79936-6128
Phone: (915) 413-6677
Fax: (866) 574-1351
Website:
Authorized official contact:
Name: Jimenez, Alexander David Doctor of Chiropractic (DC)
Phone: (915) 412-6677
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | DC5807 | Texas |
Profile Details
| NPI number | 1972794147 |
|---|---|
| LBN Legal business name | Injury Medical Clinic Pa |
| DBA Doing business as | |
| Authorized official | Jimenez, Alexander David Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Feb 17th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972794147 | NPPES |
| Texas | Other | 8C0040 | BCBS PROVIDER # |
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