Organization
WILLIAM BEAUMONT ARMY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PALLIS MD (DCCS)
(915) 742-2360
Entity
Organization
Contact information
Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5001
(915) 742-2698
Mailing address
5005 N PIEDRAS ST, EL PASO, TX 79920-5001
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114975067
—
TX
Enumeration date
03/07/2014
Last updated
03/07/2014
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