TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER


Address: 9849 Kenworthy St, El Paso, TX 79924-4402
Phone: 9157572581

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER (NPI# 1437364536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437364536
Entity Type Organization
Organization Name TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Other Organization Name TEXA TECH UHSC FAMILY MEDICINE
Practice Address 9849 Kenworthy St
El Paso
TX 79924-4402
Mailing Address Po Box 9520
El Paso
TX 79995-9520
Practice Telephone 9157572581
Practice Fax Number 9155459799
Mailing Telephone 9155456664
Mailing Fax Number 9155459799
Enumeration Date 2007-05-11
Last Update Date 2008-11-04
Authorized Official Name STEVEN M. WAGNER (MANAGING DIRECTOR)
Authorized Official Telephone 9155456664
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207QA0505X Family Medicine
Specialization: Adult Medicine
Allopathic & Osteopathic Physicians
N 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians
N 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 084597601 05

Other Provider/Organization Names

Other Name Type Code
Texa Tech UHSC Family Medicine Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770035545 Texas Tech University Health Sciences Center Pathology 2000 Transmountain Road, El Paso, TX 79911 2016-10-27
1770673113 Texas Tech University Health Sciences Center Internal Medicine 1701 N Loop 250 W, Midland, TX 79707-6002 2006-10-14
1124063649 Texas Tech University Health Sciences Center Pharmacy 1400 S Coulter St Ste 1100, Amarillo, TX 79106-1786 2006-06-18
1609810977 Texas Tech University Health Sciences Center Durable Medical Equipment & Medical Supplies 3601 4th St # 1b300, Lubbock, TX 79430 2006-06-16
1588622500 Texas Tech University Health Sciences Center Family Medicine 313 S Rio Vista Rd, El Paso, TX 79927-1646 2006-05-01
1548250137 Texas Tech University Health Sciences Center Family Medicine 701 West 5th St., Odessa, TX 79763-4368 2005-10-25
1871042754 Texas Tech University Health Sciences Center Family Medicine 2000 B Transmountain Road, El Paso, TX 79911 2016-10-03
1174071419 Texas Tech University Health Sciences Center Ophthalmology 2000 Trans Mountain Rd Ste B, El Paso, TX 79911-3602 2016-09-15
1740738053 Texas Tech University Health Sciences Center Family Medicine 2000 B Transmountain Rd, El Paso, TX 79911-3602 2016-09-15
1710435052 Texas Tech University Health Sciences Center Psychiatry & Neurology 2000 Trans Mountain Rd Ste B, El Paso, TX 79911-3602 2016-09-15

Office Location

Street Address 9849 KENWORTHY ST
City EL PASO
State TX
Zip Code 79924-4402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801885868 Oscar Alberto Noriega Family Medicine 9849 Kenworthy St, El Paso, TX 79924-4402 2005-10-20
1598228744 Tamanna Ferdous Student in an Organized Health Care Education/Training Program 9849 Kenworthy St, El Paso, TX 79924-4402 2019-04-12
1588197594 Melissa Margarita Montoya Family Medicine 9849 Kenworthy St, El Paso, TX 79924-4402 2017-04-06
1447630280 Emily Janel Christenberry Pharmacist 9849 Kenworthy St, Texas Tech Family Medicine Center, El Paso, TX 79924-4402 2015-06-07
1386039097 Sarah Ann Sepulveda Family Medicine 9849 Kenworthy St, El Paso, TX 79924-4402 2015-03-30
1134513229 Colby Mark Genrich Family Medicine 9849 Kenworthy St, El Paso, TX 79924-4402 2015-03-26
1588058549 Emmanuel Obinna Aguh Family Medicine 9849 Kenworthy St, El Paso, TX 79924-4402 2015-03-26
1124447073 Jonathon Diulio Student in an Organized Health Care Education/Training Program 9849 Kenworthy St, El Paso, TX 79924-4402 2014-04-08
1750719498 Cheyenne Rincones Nurse Practitioner 9849 Kenworthy St, El Paso, TX 79924-4402 2013-10-16
1942647839 Stella Leonora Winters Family Medicine 9849 Kenworthy St, El Paso, TX 79924-4402 2013-05-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134761331 Cep America LLC Emergency Medicine 4669 Cohen Ave, El Paso, TX 79924 2019-10-09
1962906735 Clara Nohely Velasquez-morales Pharmacist 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 2018-03-19
1861846305 Attea Catherine Costanzo Speech-Language Pathologist 5132 Prince Edward, El Paso, TX 79924 2016-04-21
1962807669 Sam's East, Inc. Technician/Technologist 9498 Gateway North, El Paso, TX 79924 2014-10-24
1700287034 San Lorenzo Adult Provider Services and Pediatrics LLC In Home Supportive Care 5625 Hemmingway, El Paso, TX 79924 2014-09-05
1790194561 Amir A Yavari Dentist 10039 Dyer Street, El Paso, TX 79924 2014-08-06
1366781676 Mary L Halliburton Dietitian, Registered 4741 Joel Drive, Apt 33, El Paso, TX 79924 2013-02-06
1902144330 El Paso Viva Dental Dentist 9584 Dyer St., Suite B, El Paso, TX 79924 2013-01-18
1053682823 Florentino Ray Penilla Pharmacist 10090 Rushing Road, El Paso, TX 79924 2012-01-25
1518296284 Jeffrey Charles Gorbett Pharmacist 10780 Kenworthy, El Paso, TX 79924 2009-12-09
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578170627 Veronica Diane Garcia Family Medicine 5316 E Paisano Dr, El Paso, TX 79905-2942 2020-09-23
1881210599 Sleep Doctor Pllc Family Medicine 840 E Redd Rd Bldg 1a, El Paso, TX 79912-7265 2020-06-18
1801420104 San Jose Moscati Medical Home Family Medicine 1200 Golden Key Cir Ste 230, El Paso, TX 79925-5834 2020-02-25
1346882727 Joseph William Garcia Family Medicine 2812 Granite Rock Dr, El Paso, TX 79938-2731 2019-10-17
1144781709 Health Management Care Pa Family Medicine 9740 Dyer St Ste 111, El Paso, TX 79924-4700 2019-03-27
1346736444 Rosa Ivelisse Colon Family Medicine 6545 Royal Ridge Dr, El Paso, TX 79912-7439 2018-07-02
1417450842 Eq Medical Pa Family Medicine 7812 Gateway Blvd E Ste 230, El Paso, TX 79915-1837 2018-03-12
1841790078 East El Paso Family Medicine Pa Family Medicine 1393 George Dieter Dr Ste D, El Paso, TX 79936-7410 2018-02-14
1255865879 Dl Ep Enterprises, Inc Family Medicine 1325 Montana Ave, El Paso, TX 79902-5538 2017-04-20
1336672468 Ibiye Owei Family Medicine 2000b Transmountain Rd Ste B400, El Paso, TX 79911-3600 2017-04-05
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Competitor

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City EL PASO
Zip Code 79924

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Dataset Information

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.

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