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CENTER FOR INTEGRATIVE CANCER MEDICINE P.A. NPI 1164480885


NPI Information

NPI: 1164480885
Provider Name: CENTER FOR INTEGRATIVE CANCER MEDICINE, P.A.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1733 CURIE DRIVE
SUITE 305
EL PASO, TX
ZIP 79902
Phone: (915) 351-1989
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CENTER FOR INTEGRATIVE CANCER MEDICINE, P.A. is a specialist in El Paso, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTER FOR INTEGRATIVE CANCER MEDICINE, P.A. NPI is 1164480885. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1733 CURIE DRIVE
SUITE 305
EL PASO, TX
ZIP 79902-910
Phone: (915) 351-1989
Fax: (915) 351-1858

The provider's authorized official is Jesus Alberto Gomez .
The authorized official title is President and has the following contact phone number (915) 351-1989.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 9/18/2008.


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
1174400000XSpecialistH2409TEXASYes

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
1CK5545MEDICARE PINTEXAS
200315UMEDICARE UPINTEXAS

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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