# TEXAS TECH UNIVERSITY HSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790948297
- **Authorized official:** MR. STEVE WAGNER (MPIP MANAGER)
- **Authorized official phone:** (915) 545-6664

## Contact information

- **Practice address:** 4800 ALBERTA AVE \# B3200, EL PASO, TX 79905-2709
- **Practice address phone:** (915) 545-7333
- **Mailing address:** 1020 S MESA HILLS DR APT 5112, EL PASO, TX 79912-5121
- **Mailing address phone:** (915) 760-5918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 390200000X | TX | Yes |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 07/03/2008