Provider Demographics
NPI:1316373848
Name:WEST PEDIATRICS NIGHT CLINIC PA
Entity Type:Organization
Organization Name:WEST PEDIATRICS NIGHT CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-841-9700
Mailing Address - Street 1:7208 LONGSPUR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-3090
Mailing Address - Country:US
Mailing Address - Phone:915-351-9700
Mailing Address - Fax:915-351-0320
Practice Address - Street 1:6901 HELEN OF TROY
Practice Address - Street 2:SUITE E-1
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-3043
Practice Address - Country:US
Practice Address - Phone:915-351-0302
Practice Address - Fax:915-351-0320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty