EL PASO RADIATION MEDICINE, P.A.


Address: 1401 W Expressway 83, San Benito Cancer Center, San Benito, TX 78586-7770
Phone: 8566850114

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0203X Radiology
Specialization: Therapeutic Radiology
L8679 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICARE PTAN 00Z153 01

Office Location

Street Address 1401 W EXPRESSWAY 83
SAN BENITO CANCER CENTER
City SAN BENITO
State TX
Zip Code 78586-7770

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0203X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Therapeutic Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City SAN BENITO
Zip Code 78586

Improve Information

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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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