Provider Demographics
NPI:1063655215
Name:NEUROSURGICAL INSTITUTE OF EL PASO, PA
Entity Type:Organization
Organization Name:NEUROSURGICAL INSTITUTE OF EL PASO, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SVARZBEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-577-0111
Mailing Address - Street 1:125 W HAGUE RD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5814
Mailing Address - Country:US
Mailing Address - Phone:915-577-0111
Mailing Address - Fax:915-533-2568
Practice Address - Street 1:125 W HAGUE RD
Practice Address - Street 2:SUITE 320
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5814
Practice Address - Country:US
Practice Address - Phone:915-577-0111
Practice Address - Fax:915-533-2568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty