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Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
Active
Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE FUCIARELLI (VICE PRESIDENT FOR FINANCE AND ADMI)
(915) 215-4300
Entity
Organization
Contact information
Practice address
4801 ALBERTA AVE., EL PASO, TX 79903
(915) 545-6566
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-9795
(915) 545-9799
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
TX
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084582801
—
TX
Enumeration date
04/05/2006
Last updated
11/06/2019
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