Healthcare Provider Details

I. General information

NPI: 1649018359
Provider Name (Legal Business Name): RIVER VALLEY PULMONARY CONSULTANTS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7878 GATEWAY BLVD EAST SUITE 204
EL PASO TX
79915
US

IV. Provider business mailing address

7878 GATEWAY BLVD EAST SUITE 204
EL PASO TX
79915
US

V. Phone/Fax

Practice location:
  • Phone: 915-999-4009
  • Fax:
Mailing address:
  • Phone: 915-999-4009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ADOLFO N ANCHONDO
Title or Position: DIRECTOR
Credential: MD
Phone: 915-532-2477