MEDICARE: ELAINE MOWINSKI BARRON MD PA

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
1	207R00000X	Internal Medicine Physician	H5282	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1255312724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE MOWINSKI BARRON MD PA

Provider Business Mailing Address
First Line	:	PO BOX 13037
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79913-3037
Country	:	US
Telephone Number	:	915-533-3566
Fax Number	:	915-533-6102

Provider Business Practice Location Address
First Line	:	3030 GATEWAY BLVD E
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79905-1014
Country	:	US
Telephone Number	:	915-533-3566
Fax Number	:	915-533-6102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	09/19/2007

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