Provider Demographics
NPI:1235875204
Name:CELLNOVATION TECHNOLOGY CORPORATION
Entity Type:Organization
Organization Name:CELLNOVATION TECHNOLOGY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:XAVIER
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-702-0003
Mailing Address - Street 1:4750 PINE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79922-2900
Mailing Address - Country:US
Mailing Address - Phone:915-252-1016
Mailing Address - Fax:
Practice Address - Street 1:7145 INDUSTRIAL AVE STE A100
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-1236
Practice Address - Country:US
Practice Address - Phone:915-252-1016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site