Active NPI
Manuel Polo
- Family Medicine Physician
- El Paso, TX
National Provider Identifier
1407799059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RS2026-0015
- Practice address
- 8621 Lawson St
El Paso, TX 79904-1992 - Phone
- (915) 272-6772
- NPI assigned
- Apr 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RS2026-0015 | NM | Primary |
Addresses
Primary practice location
8621 Lawson St
El Paso, TX 79904-1992
Mailing address
8621 Lawson St
El Paso, TX 79904-1992
Phone (915) 272-6772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS2026-0015 | NM | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1407799059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8621 LAWSON ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799041992",
"telephone_number": "915-272-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8621 LAWSON ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799041992",
"telephone_number": "915-272-6772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLO",
"first_name": "MANUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "RS2026-0015",
"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 Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.