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Organization

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO

Active
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Organization

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO

Active
Other names
Texas Tech Univesity Health Sciences Center Neuropsychiatry
Organization subpart
No

Provider details

NPI number
Authorized official
SUE FUCIARELLI (VICE PRESIDENT FOR FINANCE AND ADMI)
(915) 215-4300
Entity
Organization

Contact information

Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 545-6830
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-9795
(915) 545-9799

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103T00000X
Psychologist
106H00000X
Marriage & Family Therapist
183500000X
Pharmacist
2084N0400X
Neurology Physician
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
084601601
TX
Enumeration date
07/19/2006
Last updated
01/29/2020
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