Organization
CITY OF EL PASO-DEPARTMENT OF PUBLIC HEALTH
Active
Parent organization
CITY OF EL PASO
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF EL PASO
Authorized official
CLYDE GOODBAR CHFP (MEDICAL BILLING SUPERVISOR)
(915) 771-5779
Entity
Organization
Contact information
Practice address
5151 EL PASO DRIVE, EL PASO, TX 79905-2818
(915) 771-5779
(915) 771-5893
Mailing address
5151 EL PASO DRIVE, EL PASO, TX 79905-2818
(915) 771-5779
(915) 771-5893
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108331302
—
TX
05
—
120978503
—
TX
05
—
120978504
—
TX
05
—
120978505
—
TX
Enumeration date
07/14/2009
Last updated
07/14/2009
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