ADVANCED UROLOGY OF EL PASO, P.A (NPI# 1194966309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194966309 |
| Entity Type | Organization |
| Organization Name | ADVANCED UROLOGY OF EL PASO, P.A |
| Practice Address |
10301 Gateway Blvd W Suite 300 El Paso TX 79925-3315 |
| Mailing Address |
10301 Gateway Blvd W Suite 300 El Paso TX 79925-7701 |
| Practice Telephone | 9157791716 |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |
| Authorized Official Name | DR. MAURICIO DAVALOS (OWNER) |
| Authorized Official Telephone | 9149096565 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAL LICENSE | N1606 | 01 |
| Street Address |
10301 GATEWAY BLVD W SUITE 300 |
| City | EL PASO |
| State | TX |
| Zip Code | 79925-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871569293 | Ira S Kupetz | Radiology | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2006-02-25 |
| 1922607563 | Luis Eduardo Fons | Nurse Practitioner | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2020-10-24 |
| 1932737459 | Joshua Harvey Nichols | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2020-03-30 |
| 1447881883 | Alyssa Nicole Morales | Registered Nurse | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2020-02-03 |
| 1518502376 | Sunrise Hospitalist LLC | Internal Medicine | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-11-15 |
| 1578110623 | Aileron Aesthetics LLC | Plastic Surgery | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-08-23 |
| 1073167615 | Lynn Cubela | Nurse Practitioner | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-07-31 |
| 1245890136 | Emiliana Gonzalez Leyva | Nurse Practitioner | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-06-13 |
| 1225694086 | Christian Bezboruah | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-05-16 |
| 1598321762 | Ankita Samant | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2019-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
| 1982259495 | Cruz Elvia Corral | Assisted Living Facility | 10165 Bermuda, El Paso, TX 79925 | 2019-08-02 |
| 1740846179 | Sister Sisters In Home Care Services LLC | In Home Supportive Care | 9327 Sims Drive, Suite F, El Paso, TX 79925 | 2019-05-10 |
| 1245790450 | Mario Salinas | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 | 2019-03-22 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1083130215 | Javier Calzadilla Jr. | Behavior Technician | 9900 Montana Ave Ste C6, El Paso, TX 79925 | 2017-08-18 |
| 1942721980 | Isela Cristina Sanchez | Specialist/Technologist | 3021 Killarney St., El Paso, TX 79925 | 2017-06-29 |
| 1831629617 | Rebekah E Alvarez | Behavior Technician | 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 | 2017-06-14 |
| 1841646817 | Imelda Barbosa | Counselor | 9455 Viscount 170, El Paso, TX 79925 | 2016-05-10 |
| 1528426491 | Salnor, Inc. | Clinic/Center | 8517 Lockheed Dr., El Paso, TX 79925 | 2016-02-05 |
| Find all providers in zip 79925 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659312676 | Murray M Vann | Urology | 10400 Vista Del Sol, Ste 204, El Paso, TX 79925-1005 | 2006-06-09 |
| 1760436646 | Khai-linh Van Ho | Urology | 10400 Vista Del Sol Dr, Ste. 204, El Paso, TX 79925-7945 | 2006-05-22 |
| 1447218409 | Michael Joseph Sebesta | Urology | 2000 Trans Mountain Rd, El Paso, TX 79911 | 2006-05-01 |
| 1457323883 | Abel Garduno | Urology | 2201 N Stanton St, El Paso, TX 79902-3211 | 2006-02-01 |
| 1811976491 | Muni Sheldon Polsky | Urology | 5005 N.piedras St. William Beaumont Army Hospital, Credentials Office, El Paso, TX 79920-5001 | 2006-01-12 |
| 1871595108 | Francisco R Rodriguez | Urology | 1700 Curie Dr, Ste 4400, El Paso, TX 79902-2994 | 2005-05-31 |
| 1437662202 | Timo Frank Briffa | Urology | 7420 Remcon Cir Ste A, El Paso, TX 79912-3537 | 2017-11-14 |
| 1215221411 | Erwin Tieva | Urology | 5005 N Piedras St, El Paso, TX 79920 | 2011-06-06 |
| 1932341377 | Daniel Byrnes Morilla | Urology | 7420 Remcon Cir Ste A, El Paso, TX 79912-3537 | 2009-03-31 |
| 1710122775 | Albuquerque Minimally Invasive Urology LLC | Urology | 1700 N Mesa St, El Paso, TX 79902-3504 | 2008-12-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.