Sun City Sports Medicine And Family Clinic, Pa

LBN: Sun City Sports Medicine And Family Clinic, Pa
Sun City Sports Medicine And Family Clinic, Pa is an health care organization with primary practice located at 12810 Edgemere Blvd , El Paso TX 79938-4532. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Sun City Sports Medicine And Family Clinic, Pa can be contacted via phone (915) 504-6955, or through Provencio, Mauro via phone (915) 525-3209.

Contact Information

Primary practice address
12810 Edgemere Blvd El Paso TX 79938-4532
Phone: (915) 504-6955
Fax: (915) 504-6954
Website:
Map and Directions
Authorized official contact:
Name: Provencio, Mauro
Phone: (915) 525-3209

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X P1809 Texas

Profile Details

NPI number 1114289956
LBN Legal business name Sun City Sports Medicine And Family Clinic, Pa
DBA Doing business as
Authorized official Provencio, Mauro
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2012
Last updated Jun 18th, 2024 - about last year

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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