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TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO NPI 1003824038


NPI Information

NPI: 1003824038
Provider Name: TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO

Other Name: TEXAS TECH UNIVERSITY HEALTH SCIENCES

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D0683933

Address:
4801 ALBERTA AVE.
EL PASO, TX
ZIP 79905
Phone: (915) 545-7579
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TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO is a pediatrics in El Paso, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO NPI is 1003824038. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Texas Tech University Health Sciences.

The provider's business location address is:

4801 ALBERTA AVE.
EL PASO, TX
ZIP 79905
Phone: (915) 545-7579
Fax: (915) 545-8870

The provider's authorized official is Sue Fuciarelli .
The authorized official title is Vice President For Finance And Admi and has the following contact phone number (915) 215-4300.

The CLIA number assigned to this NPI record is 45D0683933 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/4/2006 and was last updated on 4/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0205XPediatricsPediatric EndocrinologyNo
22080P0207XPediatricsPediatric Hematology-OncologyNo
32080P0208XPediatricsPediatric Infectious DiseasesNo
42080P0214XPediatricsPediatric PulmonologyNo
5363A00000XPhysician AssistantNo
62080A0000XPediatricsAdolescent MedicineNo
72080N0001XPediatricsNeonatal-Perinatal MedicineNo
82080P0201XPediatricsPediatric Allergy/ImmunologyNo
92080P0202XPediatricsPediatric CardiologyNo
102080P0203XPediatricsPediatric Critical Care MedicineNo
11207SG0201XMedical GeneticsClinical Genetics (M.D.)No
12183500000XPharmacistNo
13103TC2200XPsychologistClinical Child & AdolescentNo
14208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1140114313OTHERTEXASCSHCN GROUP NUMBER
2CC8142OTHERTEXASRAILROAD MEDICARE GROUP#
3081651401MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.