Provider Demographics
NPI:1275720476
Name:MANUEL J. PALAFOX, D.O., P.A
Entity Type:Organization
Organization Name:MANUEL J. PALAFOX, D.O., P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:JESUS
Authorized Official - Last Name:PALAFOX
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:915-592-8223
Mailing Address - Street 1:7812 GATEWAY BLVD E
Mailing Address - Street 2:SUITE 230
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-1802
Mailing Address - Country:US
Mailing Address - Phone:915-592-8223
Mailing Address - Fax:915-592-8328
Practice Address - Street 1:7812 GATEWAY BLVD E
Practice Address - Street 2:SUITE 230
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-1802
Practice Address - Country:US
Practice Address - Phone:915-592-8223
Practice Address - Fax:915-592-8328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6136207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDC5131OtherRAILROAD MEDICARE
TX165769602OtherTHSTEPS-MEDICAID
TX0057RCOtherBLUE CROSS AND BLUE SHIELD OF TEXAS
TX167569601Medicaid
TXI09085Medicare UPIN
TXDC5131OtherRAILROAD MEDICARE