Organization
EL PASO INTEGRATED PHYSICIANS GROUP
Active
Parent organization
EL PASO INTEGRATED PHYSICIANS GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
EL PASO INTEGRATED PHYSICIANS GROUP
Authorized official
ROBERT A MORENO M.D. (CEO)
(915) 542-6519
Entity
Organization
Contact information
Practice address
1810 MURCHISON DR, SUITE 300, EL PASO, TX 79902-2930
(915) 542-6519
Mailing address
PO BOX 3157, EL PASO, TX 79923-3157
(915) 577-0051
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
213E00000X
Podiatrist
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092550501
—
TX
Enumeration date
07/07/2010
Last updated
07/26/2010
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