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NPI Code Detail

MEDICARE: SUNWEST BEHAVIORAL ASSOCIATES PA

MEDICARE: SUNWEST BEHAVIORAL ASSOCIATES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician
2251S00000XCommunity/Behavioral Health Agency
32084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053578021
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNWEST BEHAVIORAL ASSOCIATES PA
Provider Business Mailing Address
First Line : 6028 SURETY DR
Second Line :
City : EL PASO
State : TX
Zip : 79905-2018
Country : US
Telephone Number : 915-544-3500
Fax Number : 915-532-4433
Provider Business Practice Location Address
First Line : 6028 SURETY DR
Second Line :
City : EL PASO
State : TX
Zip : 79905-2018
Country : US
Telephone Number : 915-544-3500
Fax Number : 915-532-4433
Authorized Official
Title or Position : INT. CEO
Name : LAURA A RAMOS
Credential :
Telephone Number : 915-544-3500
Provider Enumeration Date : 05/19/2008
Last Update Date : 07/17/2024

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1679824296 — KARLA GONZALES COTA
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Directions to “SUNWEST BEHAVIORAL ASSOCIATES PA ” Practice Location

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