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TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO NPI 1225066277


NPI Information

NPI: 1225066277
Provider Name: TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 45D2046461

Address:
4815 ALAMEDA AVE
EL PASO, TX
ZIP 79905
Phone: (915) 521-2291
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TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO is an ophthalmology in El Paso, TX. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO NPI is 1225066277. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4815 ALAMEDA AVE
EL PASO, TX
ZIP 79905-705
Phone: (915) 521-2291
Fax: (915) 521-7873

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 45D2046461 - other - out-patient surgery clini with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 10/21/2021.


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
11223P0106XDentistOral and Maxillofacial PathologyNo
2152W00000XOptometristNo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
4207W00000XOphthalmologyYes

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
1J77AOTHERTEXASMEDICARE
2CC8142OTHERTEXASRAILROAD MEDICARE GROUP #
3140114328MEDICAIDTEXAS

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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