Southwest HCP Access PA

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

L4382 Issued in TX

Legal business name

SOUTHWEST HCP ACCESS PA

Practice address

655 E Redd Rd Ste 201
El Paso, TX 79912-1242

Phone

(915) 303-5522

NPI assigned

Mar 24, 2015

Organization subpart

No

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

Authorized official

Name

Julie Bravo

Title

Billing Manager

Phone

(915) 751-1152

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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

• Todd Funkhouser, M.D., PH.D

  • Allergy & Immunology (Internal Medicine) Physician
  • Las Cruces, NM
  • NPI 1326015173

  TX

  Medicare reassignment Care Compare group NPD
• Kristianne Blankenburg, PA-C

  • Physician Assistant
  • El Paso, TX
  • NPI 1558971432
  Medicare reassignment Care Compare group
• Glenda M Cardona, P.A. - C

  • Physician Assistant
  • El Paso, TX
  • NPI 1639478274
  Medicare reassignment Care Compare group
• Henry David Martinez, PA

  • Physician Assistant
  • Tyler, TX
  • NPI 1417937053
  Medicare reassignment Care Compare group
• Ana Karina Serna, PA-C

  • Physician Assistant
  • El Paso, TX
  • NPI 1073162798
  Medicare reassignment Care Compare group
• Nicole Elizabeth Davis, N.P.

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1477785038
  Medicare reassignment NPD
• Henry Russell Hutteman, PA-C

  • Physician Assistant
  • Socorro, TX
  • NPI 1497920078
  Medicare reassignment
• Karly Ashlyn Keith

  • Physician Assistant
  • Gatesville, TX
  • NPI 1497300933
  Medicare reassignment
• Danielle Marie Werge, PA-C

  • Medical Physician Assistant
  • Tucson, AZ
  • NPI 1437607793

  TX

  Medicare reassignment
• Elizabeth Heredia Bravo, MSN, RN, CPNP

  • Pediatric Nurse Practitioner
  • El Paso, TX
  • NPI 1700163748
  NPD

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1962896340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4659 COHEN AVE UNIT C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244430",
            "telephone_number": "915-751-1152",
            "fax_number": "915-751-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E REDD RD STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121242",
            "telephone_number": "915-303-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Lomaland Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799354202",
            "country_code": "US",
            "telephone_number": "915-444-8394",
            "fax_number": "915-444-8398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4659 Cohen Ave Unit C",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799244430",
            "country_code": "US",
            "telephone_number": "915-751-1152",
            "fax_number": "915-751-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHWEST HCP ACCESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "915-751-1152"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "L4382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Collaborative Healthcare Solutions PLLC
• Southwest Ear Nose & Throat Consultants PA
• Southwest Endocrine Consultants
• Southwest Endocrine Consultants
• Southwest Familia Care LLC
• Southwest Hearing Aid Solutions,Inc
• Southwest Histology, LLC
• Southwest Hospice, Inc
• Southwest Infusion Experts PLLC
• Southwest Laser Care PLLC

• Allergy Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Allergy Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.