Healthcare Provider Details

I. General information

NPI: 1013081207
Provider Name (Legal Business Name): EL PASO ORTHOPAEDIC ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 08/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 GATEWAY BLVD W #201
EL PASO TX
79925-7652
US

IV. Provider business mailing address

5823 N MESA PMB 843
EL PASO TX
79912
US

V. Phone/Fax

Practice location:
  • Phone: 915-595-2700
  • Fax: 915-591-1012
Mailing address:
  • Phone: 915-595-2700
  • Fax: 915-591-1012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH NEUSTEIN
Title or Position: PRESIDENT
Credential: MD
Phone: 915-595-2700