Texas Tech University Health Sciences Center El Paso

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Texas Tech University Health Sciences Center El Paso does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1124226683
Provider Type
Organization
Full Name
Texas Tech University Health Sciences Center El Paso

Subpart
No
Enumeration Date
7/6/2007
Last Updated
11/6/2019

Contact Information

Practice Location

4800 Alberta Ave, El Paso, TX 79905

(915) 215-4701

(915) 594-3581

Mailing Location

PO Box 9520, El Paso, TX 79995-9520

(915) 215-4701

(915) 594-3581

Authorized Official

Fuciarelli, Sue (Vice President For Finance And Admi)

(915) 215-4300

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207T00000X	Description Neurological Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207V00000X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207W00000X	Description Ophthalmology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207X00000X	Description Orthopaedic Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207ZP0101X	Description Pathology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207ZP0102X	Description Pathology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084N0400X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2085N0904X	Description Radiology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID G0953	Description Medicaid	Issuer Unlisted New Mexico

Texas Tech University Health Sciences Center El Paso

PECOS Enrollment

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