WEST TEXAS CHILDRENS CANCER & BLOOD DISORDERS PA (NPI# 1205939600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205939600 |
| Entity Type | Organization |
| Organization Name | WEST TEXAS CHILDRENS CANCER & BLOOD DISORDERS PA |
| Practice Address |
125 W Hague Ste 500 El Paso TX 79902 |
| Practice Telephone | 9155418903 |
| Practice Fax Number | 9153130125 |
| Mailing Telephone | 9155418903 |
| Mailing Fax Number | 9153130125 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ABIGAIL DOMINGUEZ (OFFICE MANAGER) |
| Authorized Official Telephone | 9155418903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
J0881 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | IND MCD | 12555305 | 01 |
| NM | 70187 | 05 |
| Street Address |
125 W HAGUE STE 500 |
| City | EL PASO |
| State | TX |
| Zip Code | 79902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827222 | Planned Parenthood of Greater Texas - El Paso Family Planning | Clinic/Center | 1511 E. Missouri Ave, Ste B, El Paso, TX 79902 | 2018-10-19 |
| 1700364072 | Patricia Rosales | Counselor | 611 Newman Street, El Paso, TX 79902 | 2018-07-30 |
| 1275020117 | Maximo Arroyo | Acupuncturist | 1627 Montana Ave, El Paso, TX 79902 | 2018-04-17 |
| 1699288464 | Eva Gonzalez-lewis | Social Worker | 1225 E. Cliff Dr Bldg 3 Ste#100, El Paso, TX 79902 | 2017-11-14 |
| 1710496625 | Ivan Ramon Manuel Chavez | Spec/Tech, Health Info | 2924 Piedmont Dr, El Paso, TX 79902 | 2017-09-22 |
| 1609306992 | Vidanta Personal Assistance Services Inc | Nursing Care | 1801 E Yandell Dr, El Paso, TX 79902 | 2017-06-19 |
| 1083154967 | Lamp Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1300 Murchison Dr. #200, El Paso, TX 79902 | 2017-02-27 |
| 1053769422 | Winston Lu | Pharmacist | 3001 N Mesa St, El Paso, TX 79902 | 2016-05-26 |
| 1841672904 | Norma Avitia | Counselor | 1225 E Cliff Dr Bldg 3, El Paso, TX 79902 | 2015-06-25 |
| 1962826370 | Josefina Avalos | Social Worker | 1101 E. Schuster, El Paso, TX 79902 | 2014-02-06 |
| Find all providers in zip 79902 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437362092 | Benjamin Carcamo | Pediatrics | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2007-05-08 |
| 1093827255 | Roberto Canales | Pediatrics | 1733 Curie Dr, Suite 103, El Paso, TX 79902-2910 | 2006-08-31 |
| 1720012982 | Arlynn F Mulne | Pediatrics | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2006-07-11 |
| 1174584189 | Pathology Associates of El Paso Pa | Pediatrics | 2001 North Oregon St, Pathology Department, El Paso, TX 79902 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437577111 | Ayten Cangir I | Pediatrics | 10 Summer Prt, Spring, TX 77381-4270 | 2014-03-31 |
| 1356776116 | Piti Techavichit | Pediatrics | 6701 Fannin Street Suit 1510, Texas Children's Hospital, Clinical Care Center, Houston, TX 77030 | 2013-09-11 |
| 1982049219 | Elizabeth Lynn Seashore | Pediatrics | 1102 Bates Ave Ste C750.01, Houston, TX 77030-2617 | 2013-04-30 |
| 1386088490 | Anil Pazhayattil George | Pediatrics | 1102 Bates Ave Ste 1630, Houston, TX 77030-2632 | 2013-04-18 |
| 1629322789 | Rosa Diaz | Pediatrics | 7676 Phoenix Dr Apt 1427, Houston, TX 77030-4724 | 2012-10-28 |
| 1871842278 | Pamela E Camacho | Pediatrics | 17580 Interstate 45 S Ste 450, The Woodlands, TX 77384-4964 | 2012-08-31 |
| 1437418167 | Taylor Olmsted Kim | Pediatrics | 1102 Bates Ave Ste C1025.06, Houston, TX 77030 | 2012-05-15 |
| 1316237332 | Alicia K Chang | Pediatrics | 1102 Bates Ave Ste 1025.06, Houston, TX 77030 | 2011-04-11 |
| 1629399092 | Tami Denise John | Pediatrics | 1615 Hermann Dr Unit 2209, Houston, TX 77004-7152 | 2010-06-18 |
| 1700118171 | Ricardo J Flores | Pediatrics | 6621 Fannin St # Cc142000, Clinical Care Center, Houston, TX 77030-2303 | 2010-02-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.