NPIMap

Organization Active NPI

Alalibo PLLC

  • Pediatrics Physician
  • Socorro, TX
National Provider Identifier
1881940286
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P1637 Issued in TX
Legal business name
ALALIBO PLLC
Practice address
10600 N Loop Dr
Suite B2
Socorro, TX 79927-4626
Phone
(915) 886-8899
Fax
(915) 248-0996
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Dr. Eseovhe Alalibo Ebgorge, MD, MPH
Title
Owner/Director
Phone
(915) 886-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X P1637 TX Primary

Addresses

Primary practice location

10600 N Loop Dr
Suite B2
Socorro, TX 79927-4626

Mailing address

1120 Canyon Run Dr
El Paso, TX 79912-7440
Phone (915) 886-8899

Other names 1

  • Socorro Pediatrics and Autism Center Doing business as

National Provider Directory

National Provider Directory

Locations

10600 N Loop Dr
Ste B2
Socorro, TX 79927
Phone (915) 440-4400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1881940286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CANYON RUN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127440",
            "telephone_number": "915-886-8899",
            "fax_number": "915-248-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 N LOOP DR",
            "address_2": "SUITE B2",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799274626",
            "telephone_number": "915-886-8899",
            "fax_number": "915-248-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALALIBO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "EBGORGE",
        "authorized_official_first_name": "ESEOVHE",
        "authorized_official_middle_name": "ALALIBO",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "915-886-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P1637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Socorro Pediatrics and Autism Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Socorro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.