NPI Code Details Logo

NPI 1225104292

NPI 1225104292 : CITY OF EL PASO : EL PASO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1225104292
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CITY OF EL PASO 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/28/2006
-----------------------------------------------------
    Last Update Date     |    09/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3301 PERA AVE 
-----------------------------------------------------
    City                 |    EL PASO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79905-2313
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    915-212-8000
-----------------------------------------------------
    Fax                  |    915-212-0413
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5115 EL PASO DR STE B 
-----------------------------------------------------
    City                 |    EL PASO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79905-2818
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    915-212-7895
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CFO
-----------------------------------------------------
    Name                 |     ROBERT  CORTINAS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    915-212-1067
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223D0001X
-----------------------------------------------------
    Taxonomy Name        |    Public Health Dentistry
-----------------------------------------------------
    License Number       |    14305
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1223D0001X
-----------------------------------------------------
    Taxonomy Name        |    Public Health Dentistry
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.