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ALBUQUERQUE MINIMALLY INVASIVE UROLOGY LLC NPI 1710122775


NPI Information

NPI: 1710122775
Provider Name: ALBUQUERQUE MINIMALLY INVASIVE UROLOGY LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
1700 N MESA ST
EL PASO, TX
ZIP 79902
Phone: (915) 351-6020
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ALBUQUERQUE MINIMALLY INVASIVE UROLOGY LLC is an urology in El Paso, TX. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ALBUQUERQUE MINIMALLY INVASIVE UROLOGY LLC NPI is 1710122775. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 N MESA ST
EL PASO, TX
ZIP 79902-504
Phone: (915) 351-6020
Fax: (915) 351-6048

The provider's authorized official is Mark D Thomas .
The authorized official title is Owner and has the following contact phone number (915) 351-6020.

The enumeration date for this NPI number is 12/4/2008 and was last updated on 10/3/2014.


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
1208800000XUrologyG3848TEXASYes

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
1C22603MEDICARE UPIN
2X0102MEDICAIDNEW MEXICO

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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