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Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
Active
Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE FUCIARELLI (VICE PRESIDENT FOR FINANCE AND ADMI)
(915) 215-4300
Entity
Organization
Contact information
Practice address
9849 KENWORTHY ST, EL PASO, TX 79924-4402
(915) 757-2581
(915) 751-4378
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-6664
(915) 545-9799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084597601
—
TX
Enumeration date
05/20/2006
Last updated
04/18/2022
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