Organization
SASHI II PA
Active
Parent organization
LELIA T. GAINES MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
LELIA T. GAINES MD
Authorized official
DR. LELIA T GAINES M.D. (PRESIDENT)
(915) 545-2054
Entity
Organization
Contact information
Practice address
1733 CURIE DR, STE. 205, EL PASO, TX 79902-2910
(915) 545-2054
(915) 545-5437
Mailing address
1733 CURIE DR, STE. 205, EL PASO, TX 79902-2909
(915) 545-2054
(915) 545-5437
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
J4812
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092058901
—
TX
Enumeration date
12/12/2008
Last updated
09/13/2011
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