Provider Demographics
NPI:1093281867
Name:PLANNED PARENTHOOD OF GREATER TEXAS SURGICAL HEALTH SERVICES - EL PASO
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF GREATER TEXAS SURGICAL HEALTH SERVICES - EL PASO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P OF HEALTH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-363-2004
Mailing Address - Street 1:7424 GREENVILLE AVE.
Mailing Address - Street 2:STE 206
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4552
Mailing Address - Country:US
Mailing Address - Phone:214-363-2004
Mailing Address - Fax:214-378-7483
Practice Address - Street 1:1511 E. MISSOURI AVE
Practice Address - Street 2:STE A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902
Practice Address - Country:US
Practice Address - Phone:915-626-5192
Practice Address - Fax:915-351-4497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility