MEDICARE: ESPERANZA WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM2800X	Methadone Clinic
2	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1164215075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESPERANZA WELLNESS

Provider Business Mailing Address
First Line	:	299 SHADOW MOUNTAIN DR STE C
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-4748
Country	:	US
Telephone Number	:	505-699-3590
Fax Number	:

Provider Business Practice Location Address
First Line	:	299 SHADOW MOUNTAIN DR STE C
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-4748
Country	:	US
Telephone Number	:	505-699-3590
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	JAMES HENEGHAN
Credential	:	MD
Telephone Number	:	505-699-3590

Provider Enumeration Date	:	05/23/2025
Last Update Date	:	04/28/2026

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Directions to “ESPERANZA WELLNESS ” Practice Location

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