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GREATER DALLAS HEALTHCARE ENTERPRISES NPI 1689031387


NPI Information

NPI: 1689031387
Provider Name: GREATER DALLAS HEALTHCARE ENTERPRISES

Doing Business As: PROVIDENCE MEDICAL PARTNERS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2160873

Address:
9870 GATEWAY BLVD N
STE. A
EL PASO, TX
ZIP 79924
Phone: (915) 881-3368
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GREATER DALLAS HEALTHCARE ENTERPRISES 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. GREATER DALLAS HEALTHCARE ENTERPRISES NPI is 1689031387. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Providence Medical Partners.

The provider's business location address is:

9870 GATEWAY BLVD N
STE. A
EL PASO, TX
ZIP 79924-425
Phone: (915) 881-3368
Fax: (915) 751-0464

The provider's authorized official is Timothy Adams .
The authorized official title is Svp Regional Operations, Tenet and has the following contact phone number (469) 893-2563.

The CLIA number assigned to this NPI record is 45D2160873 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2016 and was last updated on 6/8/2016.


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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