Albuquerque Minimally Invasive Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G3848 Issued in TX

Legal business name

ALBUQUERQUE MINIMALLY INVASIVE UROLOGY LLC

Practice address

1700 N Mesa St
El Paso, TX 79902-3504

Phone

(915) 351-6020

Fax

(915) 351-6048

NPI assigned

Dec 4, 2008

Last updated

Oct 3, 2014By 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

Mark D Thomas, MD

Title

Owner

Phone

(915) 351-6020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1710122775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023504",
            "telephone_number": "915-351-6020",
            "fax_number": "915-351-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023504",
            "telephone_number": "915-351-6020",
            "fax_number": "915-351-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBUQUERQUE MINIMALLY INVASIVE UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-351-6020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "G3848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X0102",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.