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45D2301179 CLIA NUMBER - EL PASO INTEGRATED PHYSICIANS GROUP, PA

Laboratory Demographics

CLIA Number: 45D2301179

Facility Name: EL PASO INTEGRATED PHYSICIANS GROUP, PA

Facility Address:
1387 GEORGE DIETER DR. STE D103
EL PASO, TX
ZIP 79936
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Facility Phone Number: 915 577-0051

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1063722320

Taxonomy: 207T00000X - Neurological Surgery
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

CLIA Record

Field Name Field Value
CLIA Number 45D2301179
LAB Type Physician Office
Facility Name EL PASO INTEGRATED PHYSICIANS GROUP, PA
Street 1387 GEORGE DIETER DR. STE D103
City EL PASO
State TX
ZIP 79936
Phone 915 577-0051
CertificateType 4
CertificateEffectiveDate 3/21/2024
CertificateExpirationDate 3/20/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024