Healthcare Provider Details

I. General information

NPI: 1487938114
Provider Name (Legal Business Name): EAST EL PASO COSMETIC SURGERY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2011
Last Update Date: 09/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1512 N ZARAGOSA SUITE A-3
EL PASO TX
79936-8902
US

IV. Provider business mailing address

1512 N ZARAGOSA SUITE A-3
EL PASO TX
79936-8902
US

V. Phone/Fax

Practice location:
  • Phone: 915-855-7800
  • Fax:
Mailing address:
  • Phone: 915-855-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: HELEN DELGADO
Title or Position: FINANCIAL CONSULTANT
Credential:
Phone: 915-543-5600