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Organization
EP MEDICAL IMAGING TECHNOLOGY, LP
Active
Organization
EP MEDICAL IMAGING TECHNOLOGY, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANETTE TAN M.D. (VICE PRESIDENT OF GENERAL PARTNER)
(915) 598-3888
Entity
Organization
Contact information
Practice address
10767 GATEWAY BLVD W, SUITE 520, EL PASO, TX 79935-4919
(915) 598-3888
Mailing address
10767 GATEWAY BLVD W, SUITE 520, EL PASO, TX 79935-4919
(915) 598-3888
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00465290
MEDICARE RAILROAD
TX
Enumeration date
04/02/2007
Last updated
05/07/2008
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