Provider Demographics
NPI:1023699501
Name:EL PASO THERAPEUTIC SERVICES LLC
Entity type:Organization
Organization Name:EL PASO THERAPEUTIC SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:F
Authorized Official - Last Name:MUNIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-799-8416
Mailing Address - Street 1:869 MONT BLANC DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-3355
Mailing Address - Country:US
Mailing Address - Phone:915-313-4465
Mailing Address - Fax:915-242-0400
Practice Address - Street 1:6044 GATEWAY BLVD E STE 444
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2037
Practice Address - Country:US
Practice Address - Phone:915-888-7908
Practice Address - Fax:915-242-0400
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EL PASO THERAPEUTIC SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-16
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies