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WEST TEXAS CHILDRENS CANCER & BLOOD DISORDERS PA NPI 1205939600


NPI Information

NPI: 1205939600
Provider Name: WEST TEXAS CHILDRENS CANCER & BLOOD DISORDERS PA
Classification: Pediatrics - 2080P0207X
Entity Type: Organization

Specialization: Pediatric Hematology-Oncology

Address:
125 W HAGUE
STE 500
EL PASO, TX
ZIP 79902
Phone: (915) 541-8903
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WEST TEXAS CHILDRENS CANCER & BLOOD DISORDERS PA is a pediatric hematology-oncology pediatrics in El Paso, TX. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. WEST TEXAS CHILDRENS CANCER & BLOOD DISORDERS PA NPI is 1205939600. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 W HAGUE
STE 500
EL PASO, TX
ZIP 79902
Phone: (915) 541-8903
Fax: (915) 313-0125

The provider's authorized official is Abigail Dominguez .
The authorized official title is Office Manager and has the following contact phone number (915) 541-8903.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 8/22/2020.


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
12080P0207XPediatricsPediatric Hematology-OncologyJ0881TEXASYes

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
112555305OTHERTEXASIND MCD
270187MEDICAIDNEW MEXICO

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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