RAQUEL B KIRWIN DMD PLLC NPI 1699280792

NPI Information

NPI: 1699280792
Provider Name: RAQUEL B KIRWIN DMD PLLC

Doing Business As: TIERRA ESTE FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
12040 TIERRA ESTE RD STE B212
EL PASO, TX
ZIP 79938
Phone: (915) 249-2298
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RAQUEL B KIRWIN DMD PLLC is a dental clinic center in El Paso, TX. RAQUEL B KIRWIN DMD PLLC NPI is 1699280792. The provider is registered as an organization entity type.
The provider Is Doing Business As Tierra Este Family Dentistry.

The provider's business location address is:

12040 TIERRA ESTE RD STE B212
EL PASO, TX
ZIP 79938-672
Phone: (915) 249-2298
Fax: (915) 249-4160

The provider's authorized official is Raquel Baamonde Kirwin .
The authorized official title is Dentist and has the following contact phone number (915) 249-2298.

The CLIA number assigned to this NPI record is 45D2300267 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2017 and was last updated on 12/11/2017.

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
1	261QD0000X	Clinic/Center	Dental	30359	TEXAS	Yes

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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