# EL PASO INTEGRATED PHYSICIANS GROUP

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

## Provider details

- **NPI number:** 1851690499
- **Authorized official:** ROBERT A MORENO MD (PRSIDENT)
- **Authorized official phone:** (915) 577-0051

## Contact information

- **Practice address:** 8815 DYER ST, SUITE 140, EL PASO, TX 79904-2000
- **Practice address phone:** (915) 751-7302
- **Practice address fax:** (915) 544-2897
- **Mailing address:** PO BOX 3157, EL PASO, TX 79923-3157
- **Mailing address phone:** (915) 577-0051
- **Mailing address fax:** (915) 544-2897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | TX | — |

## Other

- **Enumeration date:** 03/22/2011
- **Last updated:** 03/22/2011