THE CROC DOC, P.C. (NPI# 1588931042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588931042 |
| Entity Type | Organization |
| Organization Name | THE CROC DOC, P.C. |
| Practice Address |
7878 Gateway East Blvd El Paso TX 79915 |
| Mailing Address |
1901 Calle De Ninos Las Cruces NM 88005 |
| Practice Telephone | 5755265522 |
| Mailing Telephone | 5755265522 |
| Mailing Fax Number | 5755235312 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | DR. TODD MICHAEL PARCO (OWNER) |
| Authorized Official Telephone | 7196715617 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 25762 | TX | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
25762 | TX | Dental Providers |
| Street Address |
7878 GATEWAY EAST BLVD |
| City | EL PASO |
| State | TX |
| Zip Code | 79915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081527 | Sandra Juarez | Licensed Vocational Nurse | 173 Coronado Rd #1008 Bldg 1, El Paso, TX 79915 | 2019-06-10 |
| 1356850861 | Md Shahaduzzaman | Nurse Practitioner | 7812 Gateway Blvd. East, Suite 110, El Paso, TX 79915 | 2017-09-27 |
| 1801247473 | Laura Alejandra Moreno Garcia | Pediatrics | 6974 Gateway Blvd E Ste F, El Paso, TX 79915 | 2016-06-24 |
| 1699133801 | El Paso Oral Surgery Center, Pllc | Dentist | 7878 Gateway Blvd East, Suite 301, El Paso, TX 79915 | 2016-02-02 |
| 1851763296 | Shela Marie Carter | Counselor | 7833 Corozal Dr., El Paso, TX 79915 | 2015-10-26 |
| 1841680691 | Texan Procedure Center, LLC | Clinic/Center | 7924 Gateway Blvd E Ste 150j, El Paso, TX 79915 | 2015-02-02 |
| 1356749105 | Walter Nongmo Zimoh | Pharmacist | 8045 North Loop Drive, El Paso, TX 79915 | 2014-12-10 |
| 1073918892 | Edgar B Reyes | Home Health | 183 Edith Dr., El Paso, TX 79915 | 2014-10-23 |
| 1275934408 | Sonia Esther Cortez | Counselor | 7722 North Loop, Suite 5, El Paso, TX 79915 | 2014-09-08 |
| 1336570704 | Elsa Erika Gomez | Counselor | 7722 Northloop, El Paso, TX 79915 | 2013-12-10 |
| Find all providers in zip 79915 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659710259 | Edith Osorio | Dentist | 1800 Mcrae Boulevard, El Paso, TEXAS 79925 | 2013-06-18 |
| 1619106960 | Lizbeth Holguin | Dentist | 1800 Mc Rae Blvd, El Paso, TX 79925-6706 | 2009-07-08 |
| 1396990867 | Maureen Dinah Poux | Dentist | 11165 La Quinta Pl, El Paso, TX 79936-5221 | 2008-11-24 |
| 1417027251 | Stevenson Dental Clinic for Children | Dentist | 11165 La Quinta Place, El Paso, TX 79936 | 2006-11-09 |
| 1548200868 | Rodney David Mollere | Dentist | 7005 Westwind Drive, El Paso, TX 79912-1729 | 2006-06-07 |
| 1831151505 | Yadah Sringam | Dentist | 11965 Pellicano Dr, El Paso, TX 79936-6829 | 2006-04-06 |
| 1447210083 | Courtney Mei-young Brooks | Dentist | 1800 Mcrae Blvd, El Paso, TX 79925-6706 | 2006-03-27 |
| 1700395498 | Edgar L Perales | Dentist | 1800 Mcrae Blvd, El Paso, TX 79925-6706 | 2017-09-25 |
| 1396139390 | Stevensons Dental Ark Pllc | Dentist | 11165 La Quinta Pl, El Paso, TX 79936-5221 | 2015-03-27 |
| 1356767701 | Cheng Yen Dmd | Dentist | 1475 George Dieter Dr Ste L1, El Paso, TX 79936-7634 | 2014-03-10 |
| Find all providers in EL PASO | ||||
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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.