NPI: 1881678662
Provider Name: SURGERY AFFILIATE OF EL PASO, LLC
Former Legal Business Name: FOUNDATION SURGERY AFFILIATE OF EL PASO, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization
Specialization: Ambulatory Surgical
Address:
125 W. CASTELLANO DRIVE
EL PASO, TX
ZIP 79912
Phone: (915) 532-8200
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SURGERY AFFILIATE OF EL PASO, LLC is an ambulatory surgical clinic center in El Paso, TX. SURGERY AFFILIATE OF EL PASO, LLC NPI is 1881678662. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Foundation Surgery Affiliate Of El Paso, Llc.
The provider's business location address is:
125 W. CASTELLANO DRIVE
EL PASO, TX
ZIP 79912
Phone: (915) 532-8200
Fax: (915) 532-6979
The provider's authorized official is Eric Boon .
The authorized official title is Officer/authorized Official and has the following contact phone number (480) 567-0269.
The enumeration date for this NPI number is 12/5/2005 and was last updated on 3/14/2023.