PROVIDENCE IMAGING CONSULTANTS P.A. NPI 1659469344

NPI Information

  • NPI: 1659469344
  • Provider Name: PROVIDENCE IMAGING CONSULTANTS, P.A.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 45D0682345
  • Address: 2001 N OREGON ST
    EL PASO, TX
    ZIP 79902
  • Phone: (915) 577-6011

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NPI Details

PROVIDENCE IMAGING CONSULTANTS, P.A. is a diagnostic radiology radiology in El Paso, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROVIDENCE IMAGING CONSULTANTS, P.A. NPI is 1659469344. The provider is registered as an organization entity type.

The provider's business location address is:

2001 N OREGON ST
EL PASO, TX
ZIP 79902-320
Phone: (915) 577-6011

The provider's authorized official is Kiron Master .
The authorized official title is Md and has the following contact phone number (915) 577-6702.

The CLIA number assigned to this NPI record is 45D0682345 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 10/17/2016.

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
1261QR0200XClinic/CenterRadiologyNo
22085R0202XRadiologyDiagnostic RadiologyYes

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
1112577501MEDICAIDTEXAS
200A40WMEDICARE PINTEXAS
300A40WMEDICARE 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: 11/21/2025

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