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General NPI Number Information
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NPI Number | 1104160225
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Entity Type | Organization
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Legal Business Name | TOTAL CARE INSTITUTE PLLC
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 12/31/2012
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Provider Practice Location Address
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Address Line | 6894 DONIPHAN DR
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City | CANUTILLO
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State | TX
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Zip | 79835-7800
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Country | US
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Telephone | 915-261-6262
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Fax |
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Provider Business Mailing Address
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Address Line | 3108 DESTINY POINT
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City | EL PASO
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State | TX
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Zip | 79938
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Country | US
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Telephone | 915-261-6262
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | DR. HAROLD MORRIS BLOCK
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Credential |
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Telephone | 915-261-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | D0802
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License Number State | TX
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