| Texas Tech University Health Sciences Center | |
|
9849 Kenworthy St El Paso TX 79924-4402 | |
| (915) 757-2581 | |
| (915) 545-9799 |
| Full Name | Texas Tech University Health Sciences Center |
|---|---|
| Speciality | Family Medicine |
| Location | 9849 Kenworthy St, El Paso, Texas |
| Authorized Official Name and Position | Steven M. Wagner (MANAGING DIRECTOR) |
| Authorized Official Contact | 9155456664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Tech University Health Sciences Center Po Box 9520 El Paso TX 79995-9520 Ph: (915) 545-6664 | Texas Tech University Health Sciences Center 9849 Kenworthy St El Paso TX 79924-4402 Ph: (915) 757-2581 |
| NPI Number | 1437364536 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 11/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437364536 | NPI | - | NPPES |
| 084597601 | Medicaid | TX |
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