Active NPI
New Light Primary Care P. a
- Family Medicine Physician
- El Paso, TX
National Provider Identifier
1508183385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NEW LIGHT PRIMARY CARE P. A
- Practice address
- 3615 Rutherglen St
El Paso, TX 79925-1416 - Phone
- (915) 772-5400
- Fax
- (915) 772-5402
- NPI assigned
- May 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martha Manquero-Butler
- Title
- President
- Phone
- (915) 772-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3615 Rutherglen St
El Paso, TX 79925-1416
Mailing address
3615 Rutherglen St
El Paso, TX 79925-1416
Phone (915) 772-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB104258 | Medicaid | TX |
Other names 1
- New Light Primary Care PA
National Provider Directory
National Provider DirectoryLocations
5959 Gateway Blvd W
Ste 445
El Paso, TX 79925
3615 Rutherglen St
El Paso, TX 79925
Phone (915) 772-5400
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- El Paso, TX
- NPI 1144077074
-
- Professional Counselor
- El Paso, TX
- NPI 1629826904
-
- Addiction (Substance Use Disorder) Counselor
- El Paso, TX
- NPI 1174228761
-
- Mental Health Counselor
- El Paso, TX
- NPI 1598263378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1508183385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 RUTHERGLEN ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799251416",
"telephone_number": "915-772-5400",
"fax_number": "915-772-5402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 RUTHERGLEN ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799251416",
"telephone_number": "915-772-5400",
"fax_number": "915-772-5402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIGHT PRIMARY CARE P. A",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-03",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MANQUERO-BUTLER",
"authorized_official_first_name": "MARTHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "915-772-5400"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TXB104258",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Light Primary Care PA",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "New Light Primary Care PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in El Paso, TX
- New Horizon Pediatrics, P.a.
- New Horizons Adult Day Care LLC
- New Horizons Counseling Group PLLC
- New Horizons Living (New Horizons Health)
- New Journey Counseling Services, PLLC (New Journey Counseling Services)
- New Passage Counseling LLC
- New Self, PLLC (Whole Health)
- New U Psychotherapy Center, PLLP
- Richard William Manuel Newby, NNP-BC
- Cameron Newell, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.