| Texas Tech University Health Sciences | |
|
4801 Alberta Ave. El Paso TX 79905 | |
| (915) 545-7579 | |
| (915) 545-8870 |
| Full Name | Texas Tech University Health Sciences |
|---|---|
| Speciality | Pediatrics |
| Location | 4801 Alberta Ave., El Paso, Texas |
| Authorized Official Name and Position | Sue Fuciarelli (VICE PRESIDENT FOR FINANCE AND ADMI) |
| Authorized Official Contact | 9152154300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Tech University Health Sciences Po Box 9520 El Paso TX 79995-9520 Ph: (915) 545-9795 | Texas Tech University Health Sciences 4801 Alberta Ave. El Paso TX 79905 Ph: (915) 545-7579 |
| NPI Number | 1003824038 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 04/18/2022 |
| Certification Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003824038 | NPI | - | NPPES |
| 140114313 | Other | TX | CSHCN GROUP NUMBER |
| 081651401 | Medicaid | TX | |
| CC8142 | Other | TX | RAILROAD MEDICARE GROUP# |
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