Healthcare Provider Details

I. General information

NPI: 1568429348
Provider Name (Legal Business Name): EDUARDO COVARRUBIAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 N MESA ST
EL PASO TX
79912-6102
US

IV. Provider business mailing address

7500 VISCOUNT BLVD STE 298
EL PASO TX
79925-5607
US

V. Phone/Fax

Practice location:
  • Phone: 915-440-4400
  • Fax:
Mailing address:
  • Phone: 915-200-2694
  • Fax: 915-521-2278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberH9866
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: