Immunize El Paso

LBN: Pro-Action, Inc.
Immunize El Paso is an health care organization with primary practice located at 1400 George Dieter Dr Ste 260 , El Paso TX 79936-7658. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Agencies / Public Health or Welfare. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Pro-Action, Inc. can be contacted via phone (915) 533-3414, or through Brutus, Henry via phone (915) 532-2771.

Contact Information

Primary practice address
1400 George Dieter Dr Ste 260 El Paso TX 79936-7658
Fax: (915) 533-3515
Website:
Authorized official contact:
Name: Brutus, Henry Master of Arts (MA)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K6973 Texas
Agencies / Public Health or Welfare 251K00000X K6973 Texas

Profile Details

NPI number 1093853418
LBN Legal business name Pro-Action, Inc.
DBA Doing business as Immunize El Paso
Authorized official Brutus, Henry Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 7th, 2021 - about 4 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 1093853418 NPPES
Texas MEDICAID 017972302

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