EL PASO RADIATION MEDICINE, P.A.; NPI #1841489622

Contact Information

EL PASO RADIATION MEDICINE, P.A.

1401 W EXPRESSWAY 83
SAN BENITO CANCER CENTER
SAN BENITO, TX 78586-7770

Phone: 856-685-0114
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0203X

Indicates primary specialty

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

NPI Number 1841489622

LBN Legal business name EL PASO RADIATION MEDICINE, P.A.

Authorized official BRUCE ELLERIN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/17/2007

Last updated 12/08/2008 - About 17 years ago

Identifiers

TX	License #	L8679
TX	Other	00Z153	MEDICARE PTAN

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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