Organization Active NPI

Randy J Pollet MD PA

  • Medical Specialty Clinic/Center
  • El Paso, TX
National Provider Identifier
1275711962
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
E1712 Issued in TX
Legal business name
RANDY J POLLET MD PA
Practice address
1725 Brown St
El Paso, TX 79902-4726
Phone
(915) 533-3486
Fax
(915) 532-0977
NPI assigned
Feb 5, 2008
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Randy J PolletNPI 1437131463
Title
President
Phone
(915) 533-3486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X E1712 TX Primary

Addresses

Primary practice location

1725 Brown St
El Paso, TX 79902-4726

Mailing address

1725 Brown St
El Paso, TX 79902-4726
Phone (915) 533-3486

National Provider Directory

National Provider Directory

Locations

1725 Brown St
El Paso, TX 79902
Phone (915) 533-3486

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1275711962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 BROWN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024726",
            "telephone_number": "915-533-3486",
            "fax_number": "915-532-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 BROWN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024726",
            "telephone_number": "915-533-3486",
            "fax_number": "915-532-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY J POLLET MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "POLLET",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-533-3486",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "E1712",
            "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 Feb 5, 2008; 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.