NPIMap

Organization Active NPI

Greater Dallas Healthcare Enterprises

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1114338175
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GREATER DALLAS HEALTHCARE ENTERPRISES
Practice address
2311 N Mesa St
Ste. G
El Paso, TX 79902-3666
Phone
(915) 351-0699
Fax
(915) 545-1660
NPI assigned
May 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Mr. Robert Branstetter
Title
Sr Dir, Administr 501a, Tenet
Phone
(469) 893-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2311 N Mesa St
Ste. G
El Paso, TX 79902-3666

Mailing address

PO Box 840711
Dallas, TX 75284-0711
Phone (915) 351-0699

National Provider Directory

National Provider Directory
Tax ID family
Greater Dallas Healthcare Enterprises12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1114338175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840711",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840711",
            "telephone_number": "915-351-0699",
            "fax_number": "915-545-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 N MESA ST",
            "address_2": "STE. G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023666",
            "telephone_number": "915-351-0699",
            "fax_number": "915-545-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER DALLAS HEALTHCARE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "BRANSTETTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SR DIR, ADMINISTR 501A, TENET",
        "authorized_official_telephone_number": "469-893-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 8, 2016; 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.