MEDICARE: INNOVATIVE HEALTH & WELLNESS LLC EL PASO SERIES

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	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1598617631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNOVATIVE HEALTH & WELLNESS LLC EL PASO SERIES

Provider Business Mailing Address
First Line	:	171 S ALTO MESA DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-4418
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 S ALTO MESA DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-4418
Country	:	US
Telephone Number	:	972-535-8936
Fax Number	:

Authorized Official
Title or Position	:	VP REV CYCLE MGMT/CREDENTIALING
Name	:	APRIL SAWYER
Credential	:
Telephone Number	:	817-202-5179

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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