National Provider Identifier Database

EL PASO RADIATION MEDICINE PA
Radiation Oncology

January 1, 2025 - Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.


Contact Information

EL PASO RADIATION MEDICINE, P.A.
1401 W EXPRESSWAY 83
SAN BENITO CANCER CENTER
SAN BENITO, TX78586-7770
Phone: 856-685-0114
Fax:
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0203X

* Indicates primary specialty

NPI Profile & details for EL PASO RADIATION MEDICINE, P.A.

NPI Number 1841489622
Legal business name
LBN
EL PASO RADIATION MEDICINE, P.A.
Authorized official BRUCE ELLERIN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/17/2007
Last updated 12/08/2008 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: L8679
  • TX Other: 00Z153 MEDICARE PTAN

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.

Reviews for EL PASO RADIATION MEDICINE, P.A.

There are currently no reviews for EL PASO RADIATION MEDICINE, P.A.


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