Active NPI
Southwest Plastic Surgery PA
- Plastic and Reconstructive Surgery Physician
- El Paso, TX
National Provider Identifier
1992147565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- N8437
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2198135 | Southwest Plastic Surgery | Certificate of waiver | Sep 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Southwest OB GYN Assoc., P.a.
- Southwest Orthopaedics
- Southwest Orthopedic Technologists
- Southwest Pediatric Night Clinic of El Paso, P.a.
- Southwest Physician Group PA
- Southwest Retina Consultants, P.a.
- Southwest Surgeons for Obesity
- Southwest Surgeons for Obesity and General Surgery, PA
- Southwest Urgent Care Center, LLC
- Southwest Viral Med Inc
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.