Healthcare Provider Details

I. General information

NPI: 1164083358
Provider Name (Legal Business Name): BEE WELL EL PASO PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 01/05/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 N LEE TREVINO DR STE D3
EL PASO TX
79936-5164
US

IV. Provider business mailing address

1600 N LEE TREVINO DR STE D3
EL PASO TX
79936-5164
US

V. Phone/Fax

Practice location:
  • Phone: 915-351-6600
  • Fax:
Mailing address:
  • Phone: 915-255-0905
  • Fax: 915-255-0001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: SHERI HOWZE
Title or Position: OWNER
Credential: MD
Phone: 915-255-0905