Provider Demographics
NPI:1548302326
Name:EL PASO GASTROENTEROLOGY CONSULTANTS, INC.
Entity type:Organization
Organization Name:EL PASO GASTROENTEROLOGY CONSULTANTS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KARP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-532-1620
Mailing Address - Street 1:125 W HAGUE RD
Mailing Address - Street 2:SUITE. 590
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5808
Mailing Address - Country:US
Mailing Address - Phone:915-532-1620
Mailing Address - Fax:915-544-3852
Practice Address - Street 1:125 W HAGUE RD
Practice Address - Street 2:SUITE. 590
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5808
Practice Address - Country:US
Practice Address - Phone:915-532-1620
Practice Address - Fax:915-544-3852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109456701Medicaid
DA3014OtherRR MEDICARE GROUP
DA3014OtherRR MEDICARE GROUP