Southwest Physician Group PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

N2838 Issued in TX

Legal business name

SOUTHWEST PHYSICIAN GROUP PA

Practice address

3270 Joe Battle Blvd
205
El Paso, TX 79938-2639

Phone

(915) 855-2400

Fax

(915) 855-2401

NPI assigned

Feb 6, 2013

Organization subpart

No

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

Authorized official

Name

Brent Michener, D.O.

Title

Physician

Phone

(915) 855-2400

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1720327059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 JOE BATTLE BLVD",
            "address_2": "205",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382639",
            "telephone_number": "915-855-2400",
            "fax_number": "915-855-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 JOE BATTLE BLVD",
            "address_2": "205",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382639",
            "telephone_number": "915-855-2400",
            "fax_number": "915-855-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PHYSICIAN GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "MICHENER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "915-855-2400",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N2838",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "M7798",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL LICENSE M7798",
            "identifier": "M7798",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Neurosurgical Consultants LLC
• Southwest OB GYN Assoc., P.a.
• Southwest Orthopaedics
• Southwest Orthopedic Technologists (Alejandro L.Becerra)
• Southwest Pediatric Night Clinic of El Paso, P.a.
• Southwest Plastic Surgery PA
• Southwest Retina Consultants, P.a.
• Southwest Surgeons for Obesity
• Southwest Surgeons for Obesity and General Surgery, PA
• Southwest Urgent Care Center, LLC

• Obstetrics & Gynecology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.