Organization
HOSPITALIST GROUP OF EL PASO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY M. HEIGHTEN M.D. (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
1626 MEDICAL CTR STE 503, 5TH FLOOR, EL PASO, TX 79902-5015
(915) 546-9200
Mailing address
1626 MEDICAL CTR STE 503, 5TH FLOOR, EL PASO, TX 79902-5015
(915) 546-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040KK
BCBS
TX
05
—
158220701
—
TX
05
—
158220702
—
TX
05
—
158220703
—
TX
05
—
23707348
—
NM
Enumeration date
05/12/2006
Last updated
06/10/2008
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