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SAN JOSE MOSCATI MEDICAL HOME NPI 1801420104


NPI Information

NPI: 1801420104
Provider Name: SAN JOSE MOSCATI MEDICAL HOME
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1200 GOLDEN KEY CIR STE 230
EL PASO, TX
ZIP 79925
Phone: (915) 642-9220
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SAN JOSE MOSCATI MEDICAL HOME is a family medicine in El Paso, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SAN JOSE MOSCATI MEDICAL HOME NPI is 1801420104. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 GOLDEN KEY CIR STE 230
EL PASO, TX
ZIP 79925-834
Phone: (915) 642-9220

The provider's authorized official is Martha Manquero Butler .
The authorized official title is Organizer and has the following contact phone number (915) 342-6003.

The enumeration date for this NPI number is 2/25/2020 and was last updated on 2/25/2020.


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
1207Q00000XFamily MedicineYes

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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