RIO GRANDE UROLOGY PA NPI 1750416921

NPI Information

RIO GRANDE UROLOGY PA is a specialist in El Paso, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RIO GRANDE UROLOGY PA NPI is 1750416921. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7420 REMCON CIR
BLDG A
EL PASO, TX
ZIP 79912
Phone: (915) 532-8823
Fax: (915) 532-5909

The provider's authorized official is Nephtali Matta .
The authorized official title is Ceo and has the following contact phone number (915) 532-8823.

The CLIA number assigned to this NPI record is 45D0703321 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/21/2007 and was last updated on 8/13/2013.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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