MEDICARE: EPMED 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1467047019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPMED PA

Provider Business Mailing Address
First Line	:	PO BOX 221530
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79913-4530
Country	:	US
Telephone Number	:	915-598-7246
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 NORTHRISE DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-7274
Country	:	US
Telephone Number	:	575-395-7246
Fax Number	:	575-652-4607

Authorized Official
Title or Position	:	CEO
Name	:	EDUARDO GENARO VAZQUEZ
Credential	:	MD
Telephone Number	:	915-598-7246

Provider Enumeration Date	:	03/05/2021
Last Update Date	:	03/05/2021

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Directions to “EPMED PA ” Practice Location

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