National Provider Identifier Database

INJURY MEDICAL CLINIC PA
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

INJURY MEDICAL CLINIC PA
11860 VISTA DEL SOL DR # 128
EL PASO, TX79936-6128
Phone: 915-413-6677
Fax: 866-574-1351
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for INJURY MEDICAL CLINIC PA

NPI Number 1972794147
Legal business name
LBN
INJURY MEDICAL CLINIC PA
Authorized official ALEXANDER JIMENEZ - (PRESIDENT/CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 08/05/2007
Last updated 02/17/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: DC5807
  • TX Other: 8C0040 BCBS PROVIDER #

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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