Organization
TEXAS TECH UNIVERSITY HSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE WAGNER (MPIP MANAGER)
(915) 545-6664
Entity
Organization
Contact information
Practice address
4800 ALBERTA AVE # B3200, EL PASO, TX 79905-2709
(915) 545-7333
Mailing address
1020 S MESA HILLS DR APT 5112, EL PASO, TX 79912-5121
(915) 760-5918
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
390200000X
TX
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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