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NPI Code Detail

MEDICARE: PHYSICIANS HEALTHCARE ASSOCIATES, P.A.

MEDICARE: PHYSICIANS HEALTHCARE ASSOCIATES, P.A.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianH1422TX
2208000000XPediatrics PhysicianH1422TX
3363A00000XPhysician AssistantH1422TX
4363L00000XNurse PractitionerH1422TX
5207Q00000XFamily Medicine PhysicianH1422TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245235977
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS HEALTHCARE ASSOCIATES, P.A.
Provider Business Mailing Address
First Line : 7430 REMCON CIR
Second Line : BLDG B-110
City : EL PASO
State : TX
Zip : 79912-3514
Country : US
Telephone Number : 915-544-2455
Fax Number : 915-544-3149
Provider Business Practice Location Address
First Line : 2260 TRAWOOD DR
Second Line :
City : EL PASO
State : TX
Zip : 79935-3040
Country : US
Telephone Number : 915-591-4436
Fax Number : 915-591-4531
Authorized Official
Title or Position : PRESIDENT
Name : DR. VERNOY ANTHONY WALKER
Credential : M.D.
Telephone Number : 915-584-0051
Provider Enumeration Date : 06/17/2005
Last Update Date : 09/21/2012

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