Healthcare Provider Details

I. General information

NPI: 1740256635
Provider Name (Legal Business Name): HUGO E ISUANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 07/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 N OREGON ST
EL PASO TX
79902-3170
US

IV. Provider business mailing address

2600 N OREGON ST
EL PASO TX
79902-3169
US

V. Phone/Fax

Practice location:
  • Phone: 915-544-5550
  • Fax: 915-544-8589
Mailing address:
  • Phone: 915-544-5550
  • Fax: 915-544-8589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberE9713
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: