El Paso Sports Medicine Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AT4431 Issued in TX

Legal business name

EL PASO SPORTS MEDICINE CENTER LLC

Practice address

11163 La Quinta PL
Suite C
El Paso, TX 79936-5255

Phone

(915) 590-9990

Fax

(915) 590-9996

NPI assigned

Sep 8, 2010

Last updated

Sep 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard McCarty, L.A.T.

Title

Owner/Member Athletic Trainer

Phone

(915) 590-9990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1639486947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11163 LA QUINTA PL",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365255",
            "telephone_number": "915-590-9990",
            "fax_number": "915-590-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11163 LA QUINTA PL",
            "address_2": "SUITE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365255",
            "telephone_number": "915-590-9990",
            "fax_number": "915-590-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO SPORTS MEDICINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/MEMBER ATHLETIC TRAINER",
        "authorized_official_telephone_number": "915-590-9990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.A.T."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "AT4431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Paso Specialty Physicians Group
• El Paso Specialty Physicians Group
• El Paso Specialty Physicians Group
• El Paso Specialty Physicians Group
• El Paso Speech & Language Service Excellence, Inc.
• El Paso Strong Hospice Inc
• El Paso Surgery Centers LP (Surgical Center of El Paso)
• El Paso Surgical Assistants, P.C. (Lorenzo Del Olmo)
• El Paso Surgical Associates, P.a.
• El Paso Therapeutic Services LLC (Advanced DME Medical Supplies)

• Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.