West Texas Childrens Cancer & Blood Disorders PA

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

J0881 Issued in TX

Legal business name

WEST TEXAS CHILDRENS CANCER & BLOOD DISORDERS PA

Practice address

125 W Hague
Ste 500
El Paso, TX 79902

Phone

(915) 541-8903

Fax

(915) 313-0125

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Abigail Dominguez

Title

Office Manager

Phone

(915) 541-8903

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205939600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W HAGUE",
            "address_2": "STE 500",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-541-8903",
            "fax_number": "915-313-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W HAGUE",
            "address_2": "STE 500",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79902",
            "telephone_number": "915-541-8903",
            "fax_number": "915-313-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS CHILDRENS CANCER & BLOOD DISORDERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "915-541-8903",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "TX",
            "license": "J0881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND MCD",
            "identifier": "12555305",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70187",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Hematology & Oncology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Pediatric Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.