NPI |
1194383570 |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
Entity Type Code |
2 |
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot
include a Post Office box. |
Employer Identification Number EIN |
|
The city name in the location address of the provider being identified. |
Provider Organization Name Legal Business Name |
RED SECTOR A INC. |
The State code in the location of the provider
being identified. |
Provider First Line Business Practice Location Address |
1600 N LEE TREVINO DR STE C3 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Business Practice Location Address City Name |
EL PASO |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
TX |
The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Postal Code |
799365164 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Provider Business Practice Location Address Country Code If outside U S |
US |
The date that a record was last updated or changed. |
Provider Business Practice Location Address Telephone Number |
9155982190 |
The code designating the provider’s gender if the provider is a person. |
Provider Business Practice Location Address Fax Number |
9155907222 |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Provider Enumeration Date |
5/31/2019 |
|
Last Update Date |
5/31/2019 |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
Authorized Official Last Name |
MUNIZ |
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. |
Authorized Official First Name |
FERNANDO |
The first name of the authorized official. |
Authorized Official Title or Position |
PRESIDENT |
The title or position of the authorized official. |
Authorized Official Telephone Number |
9155982190 |
The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code 1 |
251B00000X |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Organization Subpart |
N |
|
Authorized Official Credential Text |
LPC |
|