Healthcare Provider Details

I. General information

NPI: 1598597080
Provider Name (Legal Business Name): HOT YOGA EL PASO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 N MESA ST STE D2
EL PASO TX
79902-1539
US

IV. Provider business mailing address

PO BOX 31
SANTA TERESA NM
88008-0031
US

V. Phone/Fax

Practice location:
  • Phone: 915-494-3246
  • Fax:
Mailing address:
  • Phone: 915-494-3246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALBERT PETER SHARKIS JR.
Title or Position: MANAGER
Credential:
Phone: 915-494-3246