Organization
EP MEDICAL IMAGING TECHNOLOGY, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANETTE TAN M.D. (VICE PRESIDENT OF GENERAL PARTNER)
(915) 598-3888
Entity
Organization
Contact information
Practice address
10767 GATEWAY BLVD W, SUITE 520, EL PASO, TX 79935-4919
(915) 598-3888
Mailing address
10767 GATEWAY BLVD W, SUITE 520, EL PASO, TX 79935-4919
(915) 598-3888
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00465290
MEDICARE RAILROAD
TX
Enumeration date
04/02/2007
Last updated
05/07/2008
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