Organization
EL PASO MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS PAYNE MD (OWNER/PRESIDENT)
(915) 532-6069
Entity
Organization
Contact information
Practice address
550 S MESA HILLS DR STE C2, EL PASO, TX 79912-5765
(915) 532-6069
(915) 532-5060
Mailing address
550 S MESA HILLS DR STE C2, EL PASO, TX 79912-5765
(915) 532-6069
(915) 532-5060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N1054
MEDICAL LICENSE
TX
01
—
TXB104323
PTAN
TX
Enumeration date
02/21/2010
Last updated
04/08/2024
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