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EL PASO LEADERSHIP ACADEMY NPI 1063803294


NPI Information

NPI: 1063803294
Provider Name: EL PASO LEADERSHIP ACADEMY
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Organization

CLIA Number: 45D2249716

Address:
1918 TEXAS AVE
EL PASO, TX
ZIP 79901
Phone: (915) 298-3900
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EL PASO LEADERSHIP ACADEMY is a student in an organized health care education training program in El Paso, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. EL PASO LEADERSHIP ACADEMY NPI is 1063803294. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1918 TEXAS AVE
EL PASO, TX
ZIP 79901-917
Phone: (915) 298-3900

The provider's authorized official is Victor Omar Yanar .
The authorized official title is Ceo / Co-founder and has the following contact phone number (915) 298-3900.

The CLIA number assigned to this NPI record is 45D2249716 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/10/2015 and was last updated on 2/10/2015.


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
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 11/14/2023

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