Provider Demographics
NPI:1073784070
Name:CARDIAC CATH LAB OF EL PASO LP
Entity Type:Organization
Organization Name:CARDIAC CATH LAB OF EL PASO LP
Other - Org Name:EL PASO CARDIAC AND ENDOVASCULAR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHWING
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:713-812-7586
Mailing Address - Street 1:4301 N MESA ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1105
Mailing Address - Country:US
Mailing Address - Phone:915-407-7900
Mailing Address - Fax:915-407-7915
Practice Address - Street 1:4301 N MESA ST
Practice Address - Street 2:SUITE 104
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1105
Practice Address - Country:US
Practice Address - Phone:915-407-7900
Practice Address - Fax:915-407-7915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2012700Medicaid
TX0A0262Medicare PIN