Organization
EL PASO HOSPITALIST GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY HEIGHTEN MD (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
1626 MEDICAL CENTER DR STE 400, 4TH FLOOR, EL PASO, TX 79902-5000
(915) 546-9200
(915) 546-9800
Mailing address
1626 MEDICAL CENTER DR STE 400, 4TH FLOOR, EL PASO, TX 79902-5000
(915) 546-9200
(915) 546-9800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10137777
—
NM
05
—
210348301
—
TX
05
—
210348302
—
TX
05
—
210348303
—
TX
Enumeration date
10/07/2009
Last updated
01/07/2011
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