Provider Demographics
NPI:1033122205
Name:EL PASO CITY COUNTY HEALTH AND ENVIRONMENTAL DISTRICT
Entity Type:Organization
Organization Name:EL PASO CITY COUNTY HEALTH AND ENVIRONMENTAL DISTRICT
Other - Org Name:NORTHEAST HEALTH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:C
Authorized Official - Last Name:MAGANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FAAP
Authorized Official - Phone:915-771-5702
Mailing Address - Street 1:5115 EL PASO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2818
Mailing Address - Country:US
Mailing Address - Phone:915-771-5741
Mailing Address - Fax:915-771-5793
Practice Address - Street 1:5587 WOODROW BEAN TRANSMOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-4026
Practice Address - Country:US
Practice Address - Phone:915-755-3775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251K00000X251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare