Organization
ECJ INTERNAL MEDICINE, PA DBA WESTSIDE MEDICAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. APRIL THOMAS (CREDENTIALING)
(915) 532-1222
Entity
Organization
Contact information
Practice address
1501 N MESA ST, SUITE 2-B, EL PASO, TX 79902-4046
(915) 532-1222
(915) 532-1551
Mailing address
1501 N MESA ST, SUITE 2-B, EL PASO, TX 79902-4046
(915) 532-1222
(915) 532-1551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1383903-13
—
TX
01
—
TXB113940
GROUP PTAN
TX
01
—
TXB113941
MEDICARE PTAN
TX
Enumeration date
11/26/2007
Last updated
12/19/2012
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