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Contact Information

INTERNAL MEDICINE GROUP PA
1715 SAUL KLIENFIELD BLDG A
EL PASO, TX79936
 Phone: 915-222-8275
 Fax: 915-222-8297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INTERNAL MEDICINE GROUP PA

NPI # 1255623906
LBN Legal business name INTERNAL MEDICINE GROUP PA
Authorized official OMAR GONZALEZ - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2011
Last updated 05/12/2011 - About 15 years ago
Identifiers
TX License # K4440
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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