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Contact Information

HERITAGE NEUROLOGY PA
2270 JOE BATTLE BLVD STE Q
EL PASO, TX79938-2610
 Phone: 915-317-1500
 Fax: 915-201-5101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurocritical Care

2084A2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for HERITAGE NEUROLOGY PA · (Female)

NPI # 1548752041
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2018
Last updated 03/28/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # Q9956
  • TX Medicaid 3883670-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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