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CANCER RADIATION & SPECIALTY CLINICS OF EL PASO. PA NPI 1164665147


NPI Information

NPI: 1164665147
Provider Name: CANCER RADIATION & SPECIALTY CLINICS OF EL PASO. PA
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 45D1033735

Address:
7812 GATEWAY BLVD E
SUITE 110
EL PASO, TX
ZIP 79915
Phone: (915) 533-2888
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CANCER RADIATION & SPECIALTY CLINICS OF EL PASO. PA 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. CANCER RADIATION & SPECIALTY CLINICS OF EL PASO. PA NPI is 1164665147. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7812 GATEWAY BLVD E
SUITE 110
EL PASO, TX
ZIP 79915-815
Phone: (915) 533-2888
Fax: (915) 849-1220

The provider's authorized official is Victor H Fierro .
The authorized official title is Administrator and has the following contact phone number (915) 533-2888.

The CLIA number assigned to this NPI record is 45D1033735 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2009 and was last updated on 4/7/2009.


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
1174400000XSpecialistYes

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
1F43497MEDICARE 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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