William Beaumont Army Medical Center
Clinic/Center, MilitaryU.S. Coast Guard Outpatient in El Paso, TX. Organization (NPI-2).
NPI number1104170646
StatusActive
Last updated in NPPESJan 7, 2013
Details
- NPI
- 1104170646
- Entity type
- Organization (NPI-2)
- Legal business name
- William Beaumont Army Medical Center
- Organization subpart
- Yes
- Enumeration date
- Nov 6, 2012
- Last updated
- Jan 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1100X | Clinic/Center, MilitaryU.S. Coast Guard Outpatient | – | – | Yes |
Other names
- Rio Bravo Medical Home-Bliss (Doing Business As)
Practice location
10460 Vista Del Sol DrEl Paso, TX 79925-7947
Phone 915-742-2121
Mailing address
5005 N Piedras StAttn Treasurer'S Office
El Paso, TX 79920-5001
Phone 915-569-2444
Authorized official
Jose Cruz-Melendez
Ubo Manager
9157428291
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