Organization
EL PASO CENTER FOR GASTROINTESTINAL ENDOSCOPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLACH (OFFICER/AUTHORIZED OFFICIAL)
(713) 343-0832
Entity
Organization
Contact information
Practice address
1620 N MESA, EL PASO, TX 79902-3595
(915) 545-5300
(915) 532-1413
Mailing address
1620 N MESA, EL PASO, TX 79902-3595
(915) 545-5300
(915) 532-1413
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008549
TX
261QE0800X
Endoscopy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008549
STATE CERTIFICATION
TX
Enumeration date
11/27/2006
Last updated
10/07/2024
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