# TEXAS FEDERAL WELLNESS CENTER OF EL PASO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Texas Federal Wellness Center of El Paso
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184181935
- **Authorized official:** CANDICE ZIMMER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (512) 800-3659

## Contact information

- **Practice address:** 12185 NEW WORLD DR, EL PASO, TX 79936-6396
- **Practice address phone:** (915) 303-8121
- **Practice address fax:** (915) 303-8180
- **Mailing address:** 12185 NEW WORLD DR, EL PASO, TX 79936-6396
- **Mailing address phone:** (915) 303-8121
- **Mailing address fax:** (915) 303-8180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 02/28/2019
- **Last updated:** 02/28/2019