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DESERT PEDIATRICS LLC NPI 1053951665


NPI Information

NPI: 1053951665
Provider Name: DESERT PEDIATRICS, LLC

Former Legal Business Name: DESERT PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2236475

Address:
801 WYOMING AVE
EL PASO, TX
ZIP 79902
Phone: (915) 302-3030
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DESERT PEDIATRICS, LLC 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. DESERT PEDIATRICS, LLC NPI is 1053951665. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Desert Pediatrics.

The provider's business location address is:

801 WYOMING AVE
EL PASO, TX
ZIP 79902-329
Phone: (915) 302-3030
Fax: (915) 302-9966

The provider's authorized official is Jason Wang .
The authorized official title is Medical Director and has the following contact phone number (972) 948-1198.

The CLIA number assigned to this NPI record is 45D2236475 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2020 and was last updated on 2/28/2021.


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
1208000000XPediatricsYes

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

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