WEST TEXAS PROVIDER SERVICES LLC (NPI# 1770541435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770541435 |
| Entity Type | Organization |
| Organization Name | WEST TEXAS PROVIDER SERVICES LLC |
| Practice Address |
200 Bartlett Dr Suite 108 El Paso TX 79912-1628 |
| Practice Telephone | 9155817960 |
| Practice Fax Number | 9155847599 |
| Mailing Telephone | 9155817960 |
| Mailing Fax Number | 9155847599 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | DON D PENDERGRAS (PRESIDENT) |
| Authorized Official Telephone | 9155816644 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
33BP3500X | TX | Suppliers |
| Street Address |
200 BARTLETT DR SUITE 108 |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316350671 | Community Health and Immunization Services | Community Health Worker | 200 Bartlett Dr, Suite 102b, El Paso, TX 79912-1656 | 2014-06-04 |
| 1710303839 | Passport Health Holdings, LLC. | Preventive Medicine | 200 Bartlett Dr, # 105, El Paso, TX 79912 | 2014-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326356387 | Ulisses Acuna | Durable Medical Equipment & Medical Supplies | 1530 Goodyear Dr Ste A1, El Paso, TX 79936-6037 | 2010-09-23 |
| 1356652275 | Segruf, L.L.C. | Durable Medical Equipment & Medical Supplies | 3465 Lee Blvd Ste 233, El Paso, TX 79936-1475 | 2010-06-25 |
| 1205082658 | Pl Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 8899 Alameda Ave Ste 117, El Paso, TX 79907-6288 | 2008-08-15 |
| 1134286271 | Medcast, Inc | Durable Medical Equipment & Medical Supplies | 7501 Lockheed Dr, Suite B, El Paso, TX 79925-2458 | 2007-01-01 |
| 1689684128 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 11500 Pellicano Dr, Ste C1, El Paso, TX 79936-6052 | 2006-08-08 |
| 1679531651 | Multi-medical Services Inc | Durable Medical Equipment & Medical Supplies | 11551 Chito Samaniego Dr, El Paso, TX 79936-7424 | 2006-05-01 |
| 1881685162 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 7304 Good Samaritan Ct, El Paso, TX 79912-1602 | 2005-11-04 |
| 1477547552 | Advant Edge Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 1576 Lomaland Dr, El Paso, TX 79935-4202 | 2005-09-06 |
| 1174529945 | Victor Gomez Vanval Enterprise | Durable Medical Equipment & Medical Supplies | 11601 Pellicano Dr, Suite B8, El Paso, TX 79936-6279 | 2005-06-24 |
| 1407240195 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 11436 Rojas Dr, Suite #b6, El Paso, TX 79936-6471 | 2015-03-20 |
| 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.