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Organization
ECJ INTERNAL MEDICINE, PA DBA WESTSIDE MEDICAL CARE CENTER
Active
Organization
ECJ INTERNAL MEDICINE, PA DBA WESTSIDE MEDICAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. APRIL THOMAS (CREDENTIALING)
(915) 532-1222
Entity
Organization
Contact information
Practice address
1501 N MESA ST, SUITE 2-B, EL PASO, TX 79902-4046
(915) 532-1222
(915) 532-1551
Mailing address
1501 N MESA ST, SUITE 2-B, EL PASO, TX 79902-4046
(915) 532-1222
(915) 532-1551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1383903-13
—
TX
01
—
TXB113940
GROUP PTAN
TX
01
—
TXB113941
MEDICARE PTAN
TX
Enumeration date
11/26/2007
Last updated
12/19/2012
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