Organization
EDUARDO M. DE JESUS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO M DE JESUS D.O. (PHYSICIAN)
(407) 607-4625
Entity
Organization
Contact information
Practice address
7812 GATEWAY BLVD E, SUITE 230, EL PASO, TX 79915-1802
(915) 592-8223
(915) 592-8328
Mailing address
4445 N MESA ST STE 122, EL PASO, TX 79902-1117
(915) 219-4300
(915) 519-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
J8988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068RF
BLUE CROSS AND BLUE SHIELD OF TEXAS
TX
05
—
196521203
—
TX
01
—
DN7782
MEDICARE RAILROAD
TX
Enumeration date
04/18/2008
Last updated
08/21/2025
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