| El Paso Neurosurgery Center, P.a. | |
|
10400 Vista Del Sol Dr Suite 104 El Paso TX 79925-7945 | |
| (915) 590-1890 | |
| (915) 590-1952 |
| Full Name | El Paso Neurosurgery Center, P.a. |
|---|---|
| Speciality | Neurological Surgery |
| Location | 10400 Vista Del Sol Dr, El Paso, Texas |
| Authorized Official Name and Position | Shanker Sundrani (OWNER) |
| Authorized Official Contact | 9155901890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Paso Neurosurgery Center, P.a. 10400 Vista Del Sol Dr Suite 104 El Paso TX 79925-7945 Ph: (915) 590-1890 | El Paso Neurosurgery Center, P.a. 10400 Vista Del Sol Dr Suite 104 El Paso TX 79925-7945 Ph: (915) 590-1890 |
| NPI Number | 1699815944 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 01/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699815944 | NPI | - | NPPES |
| 2057267-01 | Medicaid | TX | |
| 34039376 | Medicaid | NM | |
| 64186 | Other | NM | PRESBYTERIAN SALUD |
| 8B1328 | Other | TX | BLUE CROSS OF TEXAS |
| 200402600 | Other | US DEPT OF LABOR | |
| 7450354 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | L2019 (Texas) | Secondary |
| 207T00000X | Neurological Surgery | L2019 (Texas) | Primary |
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