EASTSIDE OCCMED CENTER PA NPI 1497936959

NPI Information

  • NPI: 1497936959
  • Provider Name: EASTSIDE OCCMED CENTER, PA
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 45D2106011
  • Address: 1721 N LEE TREVINO DR
    EL PASO, TX
    ZIP 79936
  • Phone: (915) 590-9424

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NPI Details

EASTSIDE OCCMED CENTER, PA is a general practice in El Paso, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee EASTSIDE OCCMED CENTER, PA NPI is 1497936959. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1721 N LEE TREVINO DR
EL PASO, TX
ZIP 79936-521
Phone: (915) 590-9424

The provider's authorized official is Rebecca Ayers .
The authorized official title is Admin Assistant and has the following contact phone number (915) 842-0504.

The CLIA number assigned to this NPI record is 45D2106011 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 11/26/2007.

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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208100000XPhysical Medicine & RehabilitationNo
4208D00000XGeneral PracticeYes

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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