Individual
SYLVESTER D PHIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10301 GATEWAY BLVD W, EL PASO, TX 79925-7701
(915) 535-9275
Mailing address
1837 PASEO REAL CIR, EL PASO, TX 79936-3722
(915) 549-9005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E8109
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F2883
MEDICAID NEWMEXICO
TX
01
—
100819
SUPERIOR SSI
TX
05
—
131754702
—
TX
01
—
201012760
MEDICAID PRESBYTERIAN
TX
01
—
300107925
MEDICARE RR
TX
01
—
742939272
TAX ID
TX
01
—
85611Y
BCBS
TX
01
—
89013
AMERIGROUP
TX
01
—
CH05820081
EL PASO FIRST CHIPS
TX
01
—
GH05820081
EL PASO FIRST GROUP
TX
01
—
MDE8109TX
WORKERS COMP
TX
Enumeration date
02/25/2006
Last updated
04/13/2016
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