# TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Texas Tech Univeristy HSC/Ob/Gyn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568564789
- **Authorized official:** SUE FUCIARELLI (VICE PRESIDENT FOR FINANCE AND ADMI)
- **Authorized official phone:** (915) 215-4300

## Contact information

- **Practice address:** 4801 ALBERTA AVE., EL PASO, TX 79905
- **Practice address phone:** (915) 545-9795
- **Practice address fax:** (915) 545-9799
- **Mailing address:** PO BOX 9520, EL PASO, TX 79995-9520
- **Mailing address phone:** (915) 545-9795
- **Mailing address fax:** (915) 545-9799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207SG0201X | Clinical Genetics (M.D.) Physician | — | NULL | — |
| 207SG0201X | Clinical Genetics (M.D.) Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VC0200X | Critical Care Medicine (Obstetrics & Gynecology) Physician | — | NULL | — |
| 207VC0200X | Critical Care Medicine (Obstetrics & Gynecology) Physician | — | — | — |
| 207VE0102X | Reproductive Endocrinology Physician | — | NULL | — |
| 207VE0102X | Reproductive Endocrinology Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |
| 207VX0201X | Gynecologic Oncology Physician | — | NULL | — |
| 207VX0201X | Gynecologic Oncology Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 04/18/2022