Healthcare Provider Details

I. General information

NPI: 1720119829
Provider Name (Legal Business Name): EL PASO COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9839 KENWORTHY ST
EL PASO TX
79924-4402
US

IV. Provider business mailing address

PO BOX 202507 EL PASO COUNTY HOSPITAL DISTRICT
DALLAS TX
75320-2507
US

V. Phone/Fax

Practice location:
  • Phone: 915-231-2310
  • Fax: 915-231-2312
Mailing address:
  • Phone: 915-231-2310
  • Fax: 915-231-2312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number19399
License Number StateTX

VIII. Authorized Official

Name: ROBERT JACOB CINTRON
Title or Position: PRESIDENT & CEO
Credential:
Phone: 915-521-7602