Organization Active NPI

United Medical Walk-in Clinic, PA

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1609981018
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M3476 Issued in TX
Legal business name
UNITED MEDICAL WALK-IN CLINIC, PA
Practice address
3101 Forney LN
El Paso, TX 79935-1607
Phone
(915) 317-6033
Fax
(915) 595-2231
NPI assigned
Aug 19, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Manuel Borrego, MDNPI 1962510578
Title
President
Phone
(915) 240-8656

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
Family Medicine Physician 207Q00000X M3476 TX Primary

Addresses

Primary practice location

3101 Forney LN
El Paso, TX 79935-1607

Mailing address

3101 Forney LN
El Paso, TX 79935-1607
Phone (915) 240-8656

Other identifiers 4

IdentifierTypeStateIssuer
MD2005-0204OtherNMNEW MEXICO MEDICAL LIC
M3476OtherTXTEXAS MEDICAL LICENSE
N0146239OtherTX DPS
05922968OtherECFMG NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070213000313 TX Part B Supplier - Clinic/Group Practice 1759383235 Receives reassigned benefits from 2 practitioners
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
45D1064671United Medical Walk-in Clinic PA3101 Forney Lane, El Paso, TX 79935Provider-performed microscopyFeb 11, 2027

National Provider Directory

National Provider Directory

Locations

1550 Hawkins Blvd
Ste 16
El Paso, TX 79925
Phone (915) 317-6033

1810 McRae Blvd
#A
El Paso, TX 79925
Phone (915) 288-3802

2600 Idalia Ave
El Paso, TX 79930
Phone (915) 317-6033

3031 Lee Trevino
Ste 114
El Paso, TX 79936
Phone (915) 274-0011

3130 N Lee Trevino Dr
Ste 114
El Paso, TX 79936
Phone (915) 595-8815

7806 West Dr
El Paso, TX 79915
Phone (915) 317-1288

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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1609981018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 FORNEY LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799351607",
            "telephone_number": "915-240-8656",
            "fax_number": "915-595-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 FORNEY LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799351607",
            "telephone_number": "915-317-6033",
            "fax_number": "915-595-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL WALK-IN CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BORREGO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-240-8656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO MEDICAL LIC",
            "identifier": "MD2005-0204",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "M3476",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DPS",
            "identifier": "N0146239",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG NUMBER",
            "identifier": "05922968",
            "state": null
        }
    ],
    "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 Mar 7, 2023; 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.