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Javier Alejandro Vasallo

Internal Medicine

Allopathic & Osteopathic Physicians

4800 Alberta Ave, El Paso, TX 79905-2709

PECOS Enrollment

This provider is enrolled in PECOS as JAVIER VASALLO.

Based on the most recent information from CMS, provider Javier Alejandro Vasallo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1376753210
Provider Type
Individual
Full Name
Vasallo, Javier Alejandro
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/22/2007
Last Updated
7/8/2007

Contact Information

Practice Location

4800 Alberta Ave, El Paso, TX 79905-2709

(915) 545-6626

(915) 545-6634

Mailing Location

4800 Alberta Ave, El Paso, TX 79905-2709

(915) 545-6626

(915) 545-6634

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License BP10025669 Texas

Javier Alejandro Vasallo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Saenz Alvarado, Rodrigo Jose

Shukla, Vani

Drew, Terrance M.

Edwards, Brian Phillip

Rodriguez, Ismael

Kattamuri, Lakshmi Prasanna Vai

Blandon, Pedro Antonio

Acharya, Prakrati

Eysha, Mostafa Mohamed M I

Ghafouri, Sayed Ab. Reshad