Healthcare Provider Details

I. General information

NPI: 1043184724
Provider Name (Legal Business Name): OTHON ANESTHESIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 DENVER AVE
EL PASO TX
79902-3008
US

IV. Provider business mailing address

5316 VICEROY DR
EL PASO TX
79924-2336
US

V. Phone/Fax

Practice location:
  • Phone: 915-544-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: ZULEMA HERMOSILLO
Title or Position: DIRECTOR
Credential: CRNA
Phone: 915-494-9322