Organization Active NPI

Clarence Pitre MD PA

  • Specialist
  • El Paso, TX
National Provider Identifier
1376752733
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J7833 Issued in TX
Legal business name
CLARENCE PITRE MD PA
Practice address
10201 Gateway West
Ste 401
El Paso, TX 79925
Phone
(905) 629-8888
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Ms. Monette Asis
Title
Medical Biller
Phone
(915) 629-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J7833 TX Primary

Addresses

Primary practice location

10201 Gateway West
Ste 401
El Paso, TX 79925

Mailing address

10201 Gateway West
Ste 401
El Paso, TX 79925
Phone (915) 692-8888

Other identifiers 1

IdentifierTypeStateIssuer
00296FOtherTXMEDICARE PROVIDER NO

National Provider Directory

National Provider Directory

Locations

10201 Gateway Blvd W
Ste 401
El Paso, TX 79925
Phone (905) 629-8888

Practitioners & affiliated clinicians

Practitioners 2

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1376752733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 GATEWAY WEST",
            "address_2": "STE 401",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79925",
            "telephone_number": "915-692-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 GATEWAY WEST",
            "address_2": "STE 401",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79925",
            "telephone_number": "905-629-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENCE PITRE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "ASIS",
        "authorized_official_first_name": "MONETTE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "915-629-8888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J7833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NO",
            "identifier": "00296F",
            "state": "TX"
        }
    ],
    "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 26, 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.