Healthcare Provider Details

I. General information

NPI: 1578543096
Provider Name (Legal Business Name): HELSON PACHECO-SERRANT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 10/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 N OREGON ST STE 660
EL PASO TX
79902-3584
US

IV. Provider business mailing address

1700 N OREGON ST STE 660
EL PASO TX
79902-3584
US

V. Phone/Fax

Practice location:
  • Phone: 915-351-1444
  • Fax: 915-533-3285
Mailing address:
  • Phone: 915-351-1444
  • Fax: 915-533-3285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberK6208
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberK6208
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: