Organization Active NPI

El Paso Rio Grande OB/GYN, PA

  • Obstetrics & Gynecology Physician
  • El Paso, TX
National Provider Identifier
1093001265
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L8442 Issued in TX
Legal business name
EL PASO RIO GRANDE OB/GYN, PA
Practice address
125 W Hague Rd
Suite 260
El Paso, TX 79902-5814
Phone
(915) 533-7579
Fax
(915) 225-3832
NPI assigned
Jun 25, 2011
Last updated
Aug 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Laura Garcia
Title
Practice Administrator
Phone
(915) 533-7579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L8442 TX Primary

Addresses

Primary practice location

125 W Hague Rd
Suite 260
El Paso, TX 79902-5814

Mailing address

125 W Hague Rd
Suite 260
El Paso, TX 79902-5814
Phone (915) 533-7579

Other identifiers 2

IdentifierTypeStateIssuer
801440526OtherTXSTATE PA FILING #
2840621-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

125 W Hague Rd
Ste 260
El Paso, TX 79902
Phone (915) 533-7579

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1093001265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W HAGUE RD",
            "address_2": "SUITE 260",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025814",
            "telephone_number": "915-533-7579",
            "fax_number": "915-225-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W HAGUE RD",
            "address_2": "SUITE 260",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025814",
            "telephone_number": "915-533-7579",
            "fax_number": "915-225-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO RIO GRANDE OB/GYN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-25",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "915-533-7579",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L8442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PA FILING #",
            "identifier": "801440526",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2840621-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.