Healthcare Provider Details

I. General information

NPI: 1427231786
Provider Name (Legal Business Name): EL PASO RESPIRATORY & SLEEP CONSULTANTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 N OREGON ST
EL PASO TX
79902-4023
US

IV. Provider business mailing address

1207 N OREGON ST
EL PASO TX
79902-4023
US

V. Phone/Fax

Practice location:
  • Phone: 915-533-2500
  • Fax: 915-533-2502
Mailing address:
  • Phone: 915-533-2500
  • Fax: 915-533-2502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep 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. ERASTO CORTES
Title or Position: PRESIDENT
Credential:
Phone: 915-533-2500