Texas Federal Wellness Center of El Paso, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TEXAS FEDERAL WELLNESS CENTER OF EL PASO, PLLC

Doing business as

Texas Federal Wellness Center of El Paso

Practice address

12185 New World Dr
El Paso, TX 79936-6396

Phone

(915) 303-8121

Fax

(915) 303-8180

NPI assigned

Feb 28, 2019

Last updated

Feb 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Candice Zimmer

Title

Credentialing Specialist

Phone

(512) 800-3659

Specialties & licenses 6

Addresses

Other names 1

• Texas Federal Wellness Center of El Paso Doing business as

Locations

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1184181935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12185 NEW WORLD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366396",
            "telephone_number": "915-303-8121",
            "fax_number": "915-303-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12185 NEW WORLD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366396",
            "telephone_number": "915-303-8121",
            "fax_number": "915-303-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS FEDERAL WELLNESS CENTER OF EL PASO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "512-800-3659"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Federal Wellness Center of El Paso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.