=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306909395
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY OF EL PASO TEXAS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/19/2006
-----------------------------------------------------
Last Update Date | 01/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 416 N. STANTON ST.
-----------------------------------------------------
City | EL PASO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79901
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 915-771-5779
-----------------------------------------------------
Fax | 915-771-5893
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 203150
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75320-3150
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 877-399-1496
-----------------------------------------------------
Fax | 877-992-6934
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | ROBERT CORTINAS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 915-212-1067
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number | 071013
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------