Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
Active
Other names
Texas Tech UHSC Neurology Dept.
Organization subpart
No
Provider details
NPI number
Authorized official
SUE FUCIARELLI (VICE PRESIDENT FOR FINANCE AND ADMI)
(915) 215-4300
Entity
Organization
Contact information
Practice address
4615 ALAMEDA AVE, EL PASO, TX 79905-2702
(915) 545-6830
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-6664
(915) 545-9799
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2084A2900X
Neurocritical Care Physician
—
—
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2084V0102X
Vascular Neurology Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084595001
—
TX
01
—
CC8142
RAILROAD MEDICARE GROUP #
TX
Enumeration date
03/29/2007
Last updated
04/18/2022
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