Provider Demographics
NPI:1235417031
Name:PATRICIO A. PAZMINO PHD, MD, PA
Entity Type:Organization
Organization Name:PATRICIO A. PAZMINO PHD, MD, PA
Other - Org Name:NEPHROLOGY, INTERNAL MEDICINE & HYPERTENSION NIH CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:PAZMINO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD MD
Authorized Official - Phone:915-534-7755
Mailing Address - Street 1:1701 N. MESA AND SCHUSTER
Mailing Address - Street 2:NIH CENTER
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3503
Mailing Address - Country:US
Mailing Address - Phone:915-534-7755
Mailing Address - Fax:915-534-7788
Practice Address - Street 1:1701 N. MESA AND SCHUSTER
Practice Address - Street 2:NIH CENTER
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3503
Practice Address - Country:US
Practice Address - Phone:915-534-7755
Practice Address - Fax:915-534-7788
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATRICIO A. PAZMINO PHD, MD, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-07-27
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6589207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0984197-01Medicaid
TX0984197-01Medicaid
TX1336131325Medicare PIN