Healthcare Provider Details

I. General information

NPI: 1225091721
Provider Name (Legal Business Name): EL PASO SURGERY CENTERS LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 04/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 N STANTON ST
EL PASO TX
79902-3511
US

IV. Provider business mailing address

1815 N STANTON ST
EL PASO TX
79902-3511
US

V. Phone/Fax

Practice location:
  • Phone: 915-533-8412
  • Fax: 915-542-0367
Mailing address:
  • Phone: 915-533-8412
  • Fax: 915-542-0367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number007330
License Number StateTX

VIII. Authorized Official

Name: WILLIAM GREGORY SWINNEY
Title or Position: VP
Credential:
Phone: 972-789-2877