MEDICARE: EL PASO ORTHOPEADIC SURGERY GROUP AND CENTER FOR SPORTS MEDICINE

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	261Q00000X	Clinic/Center	1079374	TX

General Provider Information

NPI Number	:	1467567750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL PASO ORTHOPEADIC SURGERY GROUP AND CENTER FOR SPORTS MEDICINE

Provider Business Mailing Address
First Line	:	1720 MURCHISON DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-2921
Country	:	US
Telephone Number	:	915-533-7465
Fax Number	:

Provider Business Practice Location Address
First Line	:	9999 KENWORTHY ST STE C
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-4413
Country	:	US
Telephone Number	:	915-759-7757
Fax Number	:	915-751-7554

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	MR. ARIEL AGUILAR REYES
Credential	:	L.P.T
Telephone Number	:	915-533-7465

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1568646636 — CHINWE NDUKA MD FAMILY PRACTICE PA
Practice Location Address:

3515 GATEWAY BLVD W
EL PASO, TX
79903-4413

Practice Phone: 915-774-0458
Practice Fax: 915-774-0027

1578411252 — ANGELICA MICHELLE CORTES FNP-C
Practice Location Address:

3515 GATEWAY BLVD W
EL PASO, TX
79903-4413

Practice Phone: 915-440-4981
Practice Fax:

1376617233 — HANGER PROSTHETICS & ORTHOTICS EAST INC
Practice Location Address:

615 W GROVE ST
EL DORADO, AR
71730-4413

Practice Phone: 870-862-0241
Practice Fax:

1073688511 — HEART ASSOCIATES OF SOUTH ARKANSAS, INC.
Practice Location Address:

619 W GROVE ST
EL DORADO, AR
71730-4413

Practice Phone: 870-863-6133
Practice Fax: 870-863-6290

1619020427 — MR. MICHAEL RILEY MOORE BOC P. ABC C.F.O.
Practice Location Address:

615 W GROVE ST
EL DORADO, AR
71730-4413

Practice Phone: 870-862-0241
Practice Fax: 903-838-8094

1730592643 — EVOLVE GROWTH INITIATIVES LLC
Practice Location Address:

360 N PACIFIC COAST HWY STE 1010
EL SEGUNDO, CA
90245-4413

Practice Phone: 855-490-0302
Practice Fax:

Directions to “EL PASO ORTHOPEADIC SURGERY GROUP AND CENTER FOR SPORTS MEDICINE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.