MEDICARE: EL PASO COUNTY HOSPITAL DISTRICT

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	261QA0005X	Ambulatory Family Planning Facility	000263	TX

General Provider Information

NPI Number	:	1962653410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL PASO COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	4815 ALAMEDA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79905-2705
Country	:	US
Telephone Number	:	915-544-1200
Fax Number	:	915-521-7920

Provider Business Practice Location Address
First Line	:	300 S ZARAGOZA RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-6635
Country	:	US
Telephone Number	:	915-860-8820
Fax Number	:	915-521-7920

Authorized Official
Title or Position	:	CEO
Name	:	MR. ROBERT J CINTRON
Credential	:
Telephone Number	:	915-544-1200

Provider Enumeration Date	:	10/02/2008
Last Update Date	:	10/03/2019

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Practice Location Address:

300 S ZARAGOZA RD
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1710013123 — EL PASO COUNTY HOSPITAL DISTRICT
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1790802353 — PROJECT VIDA HEALTH CENTER
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1952545188 — MS. SANDRA NAVARRO M.D.
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1689995185 — DR. LAURA MACIAS M.D.
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1194016147 — DR. DAVID HERNANDEZ M.D.
Practice Location Address:

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Directions to “EL PASO COUNTY HOSPITAL DISTRICT ” Practice Location

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