Healthcare Provider Details

I. General information

NPI: 1467084376
Provider Name (Legal Business Name): ADVANCED TMS NEURO THERAPEUTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2020
Last Update Date: 12/09/2022
Certification Date: 12/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 WESTWIND DR STE 300B
EL PASO TX
79912-1743
US

IV. Provider business mailing address

7100 WESTWIND DR STE 300B
EL PASO TX
79912-1743
US

V. Phone/Fax

Practice location:
  • Phone: 505-903-1715
  • Fax:
Mailing address:
  • Phone: 505-903-1715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code273100000X
TaxonomyEpilepsy Hospital Unit
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AAMR ARIF HEREKAR
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 505-903-1715