Active NPI
Kelly Tang, D.O.
- General Practice Physician
- El Paso, TX
National Provider Identifier
1811514987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 2455
- Practice address
- Wbamc, 18511 Highlander Medics St
MCHM-Dos-GSR
El Paso, TX 79918 - Phone
- (915) 742-0730
- Fax
- (915) 742-7889
- NPI assigned
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 2455 | NE | Primary |
Addresses
Primary practice location
Wbamc, 18511 Highlander Medics St
MCHM-Dos-GSR
El Paso, TX 79918
Mailing address
Wbamc, 18511 Highlander Medics St
MCHM-Dos-GSR
El Paso, TX 79918
Phone (915) 742-0730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2455 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1811514987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WBAMC, 18511 HIGHLANDER MEDICS ST",
"address_2": "MCHM-DOS-GSR",
"city": "EL PASO",
"state": "TX",
"postal_code": "79918",
"telephone_number": "915-742-0730",
"fax_number": "915-742-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WBAMC, 18511 HIGHLANDER MEDICS ST",
"address_2": "MCHM-DOS-GSR",
"city": "EL PASO",
"state": "TX",
"postal_code": "79918",
"telephone_number": "915-742-0730",
"fax_number": "915-742-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2023-11-17",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "2455",
"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 Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.