Healthcare Provider Details

I. General information

NPI: 1992676258
Provider Name (Legal Business Name): EMILIO ARAUJO LAT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHAMPIONS PL
EL PASO TX
79912-3799
US

IV. Provider business mailing address

5751 SAPLINAS RD
EL PASO TX
79932-1967
US

V. Phone/Fax

Practice location:
  • Phone: 915-588-4824
  • Fax:
Mailing address:
  • Phone: 915-588-4824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License NumberAT3913
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: