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TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO NPI 1316901135


NPI Information

NPI: 1316901135
Provider Name: TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4815 ALAMEDA AVE
EL PASO, TX
ZIP 79905
Phone: (915) 545-8823
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TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO is a diagnostic radiology radiology in El Paso, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO NPI is 1316901135. 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) 545-8823
Fax: (915) 545-9799

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 enumeration date for this NPI number is 4/17/2006 and was last updated on 11/6/2019.


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
12085N0700XRadiologyNeuroradiologyNo
22085N0904XRadiologyNuclear RadiologyTEXASNo
32085P0229XRadiologyPediatric RadiologyTEXASNo
42085R0202XRadiologyDiagnostic RadiologyTEXASYes
52085R0204XRadiologyVascular & Interventional RadiologyNo
62085U0001XRadiologyDiagnostic UltrasoundTEXASNo

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
1G0953OTHERNEW MEXICONM MEDICAID GROUP NUMBER
2084602402MEDICAIDTEXAS
3CC1842OTHERNEW MEXICORAILROAD MEDICARE GROUP #

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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