Organization Active NPI

Southwest Plastic Surgery PA

  • Plastic and Reconstructive Surgery Physician
  • El Paso, TX
National Provider Identifier
1992147565
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
N8437 Issued in TX
Legal business name
SOUTHWEST PLASTIC SURGERY PA
Practice address
1387 George Dieter Dr BLDG C301
El Paso, TX 79936-7410
Phone
(915) 590-7900
Fax
(915) 590-7902
NPI assigned
Jul 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Francisco J Agullo
Title
President
Phone
(915) 590-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X N8437 TX Primary

Addresses

Primary practice location

1387 George Dieter Dr BLDG C301
El Paso, TX 79936-7410

Mailing address

1387 George Dieter Dr BLDG C301
El Paso, TX 79936-7410
Phone (915) 590-7900

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2198135Southwest Plastic Surgery1387 George Dieter C301, El Paso, TX 79936Certificate of waiverSep 28, 2027

National Provider Directory

National Provider Directory

Locations

1387 George Dieter Dr
Bldg C301
El Paso, TX 79936
Phone (915) 590-7900

5959 Gateway Blvd W
Ste 230
El Paso, TX 79925

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1992147565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 GEORGE DIETER DR BLDG C301",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367410",
            "telephone_number": "915-590-7900",
            "fax_number": "915-590-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 GEORGE DIETER DR BLDG C301",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367410",
            "telephone_number": "915-590-7900",
            "fax_number": "915-590-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "AGULLO",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-590-7900"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "N8437",
            "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 Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.