# CITY OF EL PASO TEXAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dept. of Public Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366864191
- **Authorized official:** CLYDE GOODBAR (BILLING MANAGER)
- **Authorized official phone:** (915) 771-5779

## Contact information

- **Practice address:** 5115 EL PASO DRIVE, SUITE B, CLINIC A, EL PASO, TX 79905-2818
- **Practice address phone:** (915) 771-5779
- **Practice address fax:** (915) 771-5893
- **Mailing address:** 5115 EL PASO DRIVE, SUITE B, CLINIC A, EL PASO, TX 79905-2818
- **Mailing address phone:** (915) 771-5779
- **Mailing address fax:** (915) 771-5893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/14/2014
- **Last updated:** 01/14/2014