Organization Active NPI

Eep Internal Medicine PA

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1144501628
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M7056 Issued in TX
Legal business name
EEP INTERNAL MEDICINE PA
Practice address
11170 La Quinta PL
Ste a
El Paso, TX 79936-5251
Phone
(915) 422-6128
NPI assigned
Aug 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Maria Botez, MD
Title
Owner
Phone
(915) 422-6128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X M7056 TX Primary

Addresses

Primary practice location

11170 La Quinta PL
Ste a
El Paso, TX 79936-5251

Mailing address

11170 La Quinta PL
Ste a
El Paso, TX 79936-5251
Phone (915) 422-6128

National Provider Directory

National Provider Directory

Locations

11170 La Quinta Pl
Ste A
El Paso, TX 79936
Phone (915) 355-5774

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1144501628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11170 LA QUINTA PL",
            "address_2": "STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365251",
            "telephone_number": "915-422-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11170 LA QUINTA PL",
            "address_2": "STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365251",
            "telephone_number": "915-422-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EEP INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "BOTEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-422-6128",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M7056",
            "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 Aug 31, 2011; 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.