Organization
EL PASO INTEGRATED PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A MORENO M.D. (PRESIDENT)
(915) 544-0326
Entity
Organization
Contact information
Practice address
4532 N MESA ST, 2ND FLOOR, EL PASO, TX 79912
(915) 544-0326
(915) 544-2897
Mailing address
PO BOX 3157, EL PASO, TX 79923-3157
(915) 544-0326
(915) 544-2897
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092550501
—
TX
Enumeration date
08/08/2006
Last updated
08/05/2019
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