Organization Active NPI

East-Side Oncology Clinic, PLLC

  • Medical Specialty Clinic/Center
  • El Paso, TX
National Provider Identifier
1689007718
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
P2726 Issued in TX
Legal business name
EAST-SIDE ONCOLOGY CLINIC, PLLC
Practice address
3022 Trawood Dr
B
El Paso, TX 79936
Phone
(915) 849-1345
NPI assigned
Aug 13, 2013
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Dr. Nagender Mankan
Title
Owner
Phone
(915) 603-1242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X P2726 TX Primary

Addresses

Primary practice location

3022 Trawood Dr
B
El Paso, TX 79936

Mailing address

3022 Trawood Dr
B
El Paso, TX 79936

National Provider Directory

National Provider Directory

Locations

3022 Trawood Dr
Ste B
El Paso, TX 79936
Phone (915) 849-1345

3028 Trawood Dr
Ste A
El Paso, TX 79936
Phone (240) 604-4646

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1689007718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 TRAWOOD DR",
            "address_2": "B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 TRAWOOD DR",
            "address_2": "B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-849-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST-SIDE ONCOLOGY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "MANKAN",
        "authorized_official_first_name": "NAGENDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-603-1242",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "P2726",
            "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 Jan 21, 2014; 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.