EL PASO RADIATION MEDICINE, P.A. (NPI# 1841489622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841489622 |
Entity Type | Organization |
Organization Name | EL PASO RADIATION MEDICINE, P.A. |
Practice Address |
1401 W Expressway 83 San Benito Cancer Center San Benito TX 78586-7770 |
Mailing Address |
224 Cobble Creek Cir Cherry Hill NJ 08003-1838 |
Practice Telephone | 8566850114 |
Mailing Telephone | 8566850114 |
Enumeration Date | 2007-10-17 |
Last Update Date | 2008-12-08 |
Authorized Official Name | DR. BRUCE ELKIN ELLERIN (PRESIDENT) |
Authorized Official Telephone | 8566850114 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
L8679 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MEDICARE PTAN | 00Z153 | 01 |
Street Address |
1401 W EXPRESSWAY 83 SAN BENITO CANCER CENTER |
City | SAN BENITO |
State | TX |
Zip Code | 78586-7770 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558903542 | Ana Cecilia Santana | Counselor | 401 E. Business Hwy 77, San Benito, TX 78586 | 2019-10-11 |
1629636519 | Jodie Bulnes | Social Worker | 2310 W. Business Hwy 77, San Benito, TX 78586 | 2019-06-05 |
1730651225 | Alma De La Garza | Licensed Vocational Nurse | 24369 Resaca Llena Drive, San Benito, TX 78586 | 2018-12-20 |
1144719428 | Fernando Vasquez Jr. | Physician Assistant | 400 Us-77 Bus, San Benito, TX 78586 | 2018-05-02 |
1447660048 | Rodeo Dental & Orthodontics | Dentist | 1141 Us Business 77, Ste G, San Benito, TX 78586 | 2014-05-05 |
1528309044 | Sergio De La Garza | Pharmacist | 1095 W. Business 77, San Benito, TX 78586 | 2013-03-07 |
1255692489 | Priscilla Sustaita | Speech-Language Pathologist | 935 S. Travis Rd., San Benito, TX 78586 | 2012-06-05 |
1740572148 | Infinity Rehab Services, LLC | Occupational Therapist | 115 N Williams Road, Ste. A, San Benito, TX 78586 | 2011-05-04 |
1346556305 | Deborah Gallaga | Pharmacist | 1095 W Highway 77, San Benito, TX 78586 | 2010-08-27 |
1811201478 | Pete Martinez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26619 Line G Road, San Benito, TX 78586 | 2010-08-05 |
Find all providers in zip 78586 |
Taxonomy Code | 2085R0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Therapeutic Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922645399 | Sung-yen Lin | Radiology | 2712 Pittsburgh St, Houston, TX 77005-3948 | 2019-12-04 |
1205150893 | Jack Phan | Radiology | 2926 Coral Rocks Ct, Missouri City, TX 77459-7612 | 2010-03-25 |
1265696967 | James Eustace Bizzell II | Radiology | 3500 Fairmount St, 626, Dallas, TX 75219-4778 | 2008-07-11 |
1093894198 | David L Janssen | Radiology | 2807 N Ben Wilson St, Suite 201, Victoria, TX 77901-5730 | 2006-11-02 |
1275556391 | Brownwood Hospital Lp | Radiology | 1501 Burnet Dr, Brownwood, TX 76081 | 2006-07-26 |
1073513586 | Arthur Donald Hamberger | Radiology | 1631 North Loop W, Suite 150, Houston, TX 77008-1529 | 2005-07-26 |
1134127293 | Nyun Calvin Han | Radiology | 7420 Remcon Cir Ste A, El Paso, TX 79912-3537 | 2005-07-13 |
1013372010 | Jeffrey Gilroy Md Pa | Radiology | 721 Clinic Dr, Tyler, TX 75701-2043 | 2015-12-18 |
1326345190 | Julianne Pollard | Radiology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2011-02-14 |
1730416090 | Abdul Sahib Mohammed Al-abdulla | Radiology | 1195 Garner Field Rd, Bldg.a, Ste. 100, Uvalde, TX 78801-4820 | 2009-11-06 |
Find all providers with the same taxonomy |
City | SAN BENITO |
Zip Code | 78586 |
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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.