Healthcare Provider Details

I. General information

NPI: 1952695538
Provider Name (Legal Business Name): THE UNIVERSITY OF TEXAS AT EL PASO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2011
Last Update Date: 06/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 W UNIVERSITY AVE UNION COMPLEX EAST #100
EL PASO TX
79968-8900
US

IV. Provider business mailing address

PO BOX 168007
IRVING TX
75016-8007
US

V. Phone/Fax

Practice location:
  • Phone: 915-747-8492
  • Fax: 915-747-5015
Mailing address:
  • Phone: 866-890-6390
  • Fax: 469-735-4640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHLEEN A CURTIS
Title or Position: DEAN, COLLEGE OF HEALTH SCIENCES
Credential: PHD
Phone: 915-747-7201