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BORDER PEDIATRICS P.A. NPI 1841347218


NPI Information

NPI: 1841347218
Provider Name: BORDER PEDIATRICS, P.A.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 45D1010767

Address:
4500 N MESA ST
EL PASO, TX
ZIP 79912
Phone: (915) 532-9000
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BORDER PEDIATRICS, P.A. is an adolescent medicine pediatrics in El Paso, TX. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. BORDER PEDIATRICS, P.A. NPI is 1841347218. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4500 N MESA ST
EL PASO, TX
ZIP 79912-102
Phone: (915) 532-9000
Fax: (915) 532-9006

The provider's authorized official is Ruben R Roncallo .
The authorized official title is President and has the following contact phone number (915) 532-9000.

The CLIA number assigned to this NPI record is 45D1010767 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/5/2007 and was last updated on 8/22/2020.


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
12080A0000XPediatricsAdolescent MedicineK9162TEXASYes

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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