Healthcare Provider Details

I. General information

NPI: 1053031237
Provider Name (Legal Business Name): FRESENIUS VASCULAR CARE EL PASO ASC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5407 N MESA ST STE 100
EL PASO TX
79912-5468
US

IV. Provider business mailing address

PO BOX 411489
BOSTON MA
02241-1489
US

V. Phone/Fax

Practice location:
  • Phone: 915-533-1789
  • Fax:
Mailing address:
  • Phone: 610-644-8900
  • Fax: 484-924-0053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HECTOR DIAZ-LUNA
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 915-533-1789