Active NPI
Melissa R Holguin
- Medical Physician Assistant
- El Paso, TX
National Provider Identifier
1851343461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA04664
- Practice address
- 2260 Trawood Dr
El Paso, TX 79935-3040 - Phone
- (915) 591-4436
- Fax
- (915) 591-4531
- NPI assigned
- May 16, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA04664 | TX | Primary |
Addresses
Primary practice location
2260 Trawood Dr
El Paso, TX 79935-3040
Mailing address
7430 Remcon Cir
Suite B110
El Paso, TX 79912-3514
Phone (915) 544-2455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians and Allied Health Professionals Group, PA | Medical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- El Paso, TX
- NPI 1003225830
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Medical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1851343461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7430 REMCON CIR",
"address_2": "SUITE B110",
"city": "EL PASO",
"state": "TX",
"postal_code": "799123514",
"telephone_number": "915-544-2455",
"fax_number": "915-544-3149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 TRAWOOD DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799353040",
"telephone_number": "915-591-4436",
"fax_number": "915-591-4531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLGUIN",
"first_name": "MELISSA",
"middle_name": "R",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA04664",
"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 Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.