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NPI Code Detail

MEDICARE: DR. ERIC E. SIDES MD

MEDICARE: DR. ERIC E. SIDES MD
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
1207X00000XOrthopaedic Surgery PhysicianJ2331TX

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 : 1922088822
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC E. SIDES MD
Provider Business Mailing Address
First Line : PO BOX 12793
Second Line :
City : EL PASO
State : TX
Zip : 79913-0793
Country : US
Telephone Number : 915-581-0712
Fax Number : 915-833-7312
Provider Business Practice Location Address
First Line : 820 E REDD RD BLDG B
Second Line :
City : EL PASO
State : TX
Zip : 79912-7275
Country : US
Telephone Number : 915-581-0712
Fax Number : 915-533-8680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 09/26/2023

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Directions to “ DR. ERIC E. SIDES MD” Practice Location

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