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SOUTHWEST PHYSICIAN GROUP PA NPI 1720327059


NPI Information

NPI: 1720327059
Provider Name: SOUTHWEST PHYSICIAN GROUP PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3270 JOE BATTLE BLVD
205
EL PASO, TX
ZIP 79938
Phone: (915) 855-2400
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SOUTHWEST PHYSICIAN GROUP PA is an obstetrics gynecology in El Paso, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SOUTHWEST PHYSICIAN GROUP PA NPI is 1720327059. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3270 JOE BATTLE BLVD
205
EL PASO, TX
ZIP 79938-639
Phone: (915) 855-2400
Fax: (915) 855-2401

The provider's authorized official is Brent Michener .
The authorized official title is Physician and has the following contact phone number (915) 855-2400.

The enumeration date for this NPI number is 2/6/2013 and was last updated on 2/6/2013.


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
1207V00000XObstetrics & GynecologyN2838TEXASYes
2208600000XSurgeryM7798TEXASNo

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
1M7798OTHERTEXASTX MEDICAL LICENSE M7798

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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