# EL PASO INTEGRATED PHYSICIANS GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336452127
- **Authorized official:** DR. ROBERT A MORENO MD (CEO)
- **Authorized official phone:** (915) 577-0051

## Contact information

- **Practice address:** 2022 MURCHISON DR, SUIT 104, EL PASO, TX 79902-3032
- **Practice address phone:** (915) 577-0051
- **Practice address fax:** (915) 577-0054
- **Mailing address:** 8815 DYER ST, SUITE 140, EL PASO, TX 79904-2000
- **Mailing address phone:** (915) 751-7302
- **Mailing address fax:** (915) 542-2897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/21/2010
- **Last updated:** 07/21/2010