EL PASO SPORTS MEDICINE CENTER LLC (NPI# 1639486947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639486947 |
| Entity Type | Organization |
| Organization Name | EL PASO SPORTS MEDICINE CENTER LLC |
| Practice Address |
11163 La Quinta Pl Suite C El Paso TX 79936-5255 |
| Practice Telephone | 9155909990 |
| Practice Fax Number | 9155909996 |
| Mailing Telephone | 9155909990 |
| Mailing Fax Number | 9155909996 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | MR. RICHARD MCCARTY (OWNER/MEMBER ATHLETIC TRAINER) |
| Authorized Official Telephone | 9155909990 |
| Authorized Official Credential | L.A.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | AT4431 | TX | Ambulatory Health Care Facilities |
| Street Address |
11163 LA QUINTA PL SUITE C |
| City | EL PASO |
| State | TX |
| Zip Code | 79936-5255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053386763 | Eric M Gross | Otolaryngology | 11163 La Quinta Pl, Ste B-200, El Paso, TX 79936-5221 | 2006-02-17 |
| 1952733685 | James Anthony Enriquez | Physician Assistant | 11163 La Quinta Pl, Suite B100, El Paso, TX 79936-5255 | 2013-08-05 |
| 1184995565 | Debra A Myers | Nurse Practitioner | 11163 La Quinta Pl, B100, El Paso, TX 79936-5255 | 2012-01-18 |
| 1619280088 | Femi David Iwaloye, Md, Pa | Obstetrics & Gynecology | 11163 La Quinta Pl, Suite A200, El Paso, TX 79936-5255 | 2010-07-14 |
| 1396078952 | Eric M Gross Md Pa | Otolaryngology | 11163 La Quinta Pl, Ste B-200, El Paso, TX 79936-5221 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
| 1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
| 1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
| 1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
| 1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
| 1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
| Find all providers in zip 79936 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386117513 | Leo L Altenberg Md | Clinic/Center | 154 N Festival Dr Ste A, El Paso, TX 79912-6265 | 2019-01-10 |
| 1598123713 | El Paso Community Mhmr | Clinic/Center | 201 E Main Dr Ste 600, El Paso, TX 79901-1385 | 2016-02-02 |
| 1447543715 | American Current Care Pa | Clinic/Center | 1610 N Zaragosa Road, Suite D1, El Paso, TX 79936 | 2011-05-19 |
| 1386943322 | Dynamic Care Rehab | Clinic/Center | 6006 N Mesa St Ste 901, El Paso, TX 79912-4655 | 2011-03-16 |
| 1578720744 | Mccombs Rehabilitation Center | Clinic/Center | 4717 Hondo Pass Dr Ste B, El Paso, TX 79904-1474 | 2008-05-16 |
| 1417142241 | West Texas Chiropractic Center L.L.C. | Clinic/Center | 4530 Montana Ave Ste D, El Paso, TX 79903-4700 | 2007-09-14 |
| 1598950479 | Joseph F Wilson,dc,pa | Clinic/Center | 6559 N Mesa St, El Paso, TX 79912-4417 | 2007-09-13 |
| 1043344302 | Centro De Salud Familiar La Fe | Clinic/Center | 1505 Mescalero, El Paso, TX 79925 | 2007-03-16 |
| 1184758468 | Centro De Salud Familiar La Fe, Inc. | Clinic/Center | 1221 E San Antonio Ave, El Paso, TX 79901-2618 | 2007-03-16 |
| 1932232436 | Carinos Well Child Clinic | Clinic/Center | 11601 Pellicano Dr Ste A6, El Paso, TX 79936-6054 | 2007-03-13 |
| 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.