Organization Active NPI

Guillermo Parra M.D.P.a.

Doing business as Family & Occupational Health Clinic

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • El Paso, TX
National Provider Identifier
1336366020
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
GUILLERMO PARRA M.D.P.A.
Doing business as
Family & Occupational Health Clinic
Practice address
3017 Trawood Dr
El Paso, TX 79936-4330
Phone
(915) 855-2005
Fax
(915) 855-8400
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Guillermo Parra, M.D.NPI 1346231941
Title
President
Phone
(915) 855-2005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

3017 Trawood Dr
El Paso, TX 79936-4330

Mailing address

3017 Trawood Dr
El Paso, TX 79936-4330
Phone (915) 855-2005

Other names 1

  • Family & Occupational Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090206000449 TX Part B Supplier - Clinic/Group Practice 5890685176 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1044836Family and Occupational Health Clinic3017 Trawood Drive, El Paso, TX 79936Certificate of waiverAug 29, 2027

National Provider Directory

National Provider Directory

Locations

3017 Trawood Dr
El Paso, TX 79936
Phone (915) 855-2005

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336366020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364330",
            "telephone_number": "915-855-2005",
            "fax_number": "915-855-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364330",
            "telephone_number": "915-855-2005",
            "fax_number": "915-855-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO PARRA M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARRA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-855-2005",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family & Occupational Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.