Organization
EL PASO DEL NORTE SURGICAL GROUP, PA
Active
Other names
Rio Grande Surgeons, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE ACOSTA M.D. (PRESIDENT)
(915) 591-7700
Entity
Organization
Contact information
Practice address
10175GATEWAY WEST BLVD., SUITE 220, EL PASO, TX 79925-7618
(915) 591-7700
(915) 591-3170
Mailing address
10175GATEWAY WEST BLVD., SUITE 220, EL PASO, TX 79925-7618
(915) 591-7700
(915) 591-3170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L6246
TX
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022LE
BCBS GROUP PROVIDER NUMB
TX
05
—
166859201
—
TX
Enumeration date
02/21/2007
Last updated
11/04/2008
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