915 PEDIATRICS PLLC NPI 1114526050

NPI Information

  • NPI: 1114526050
  • Provider Name: 915 PEDIATRICS PLLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 45D2227460
  • Address: 3261 JOE BATTLE BLVD
    EL PASO, TX
    ZIP 79936
  • Phone: (915) 257-5862

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NPI Details

915 PEDIATRICS PLLC 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. 915 PEDIATRICS PLLC NPI is 1114526050. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3261 JOE BATTLE BLVD
EL PASO, TX
ZIP 79936-156
Phone: (915) 257-5862
Fax: (689) 207-5553

The provider's authorized official is Gilberto Gomez .
The authorized official title is Owner and has the following contact phone number (915) 257-5862.

The CLIA number assigned to this NPI record is 45D2227460 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2020 and was last updated on 10/21/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1L9705OTHERTEXASTX LICENSE

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: 11/21/2025

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