Provider Demographics
NPI:1346546264
Name:EL PASO INTERNAL MEDICINE CARE PA
Entity Type:Organization
Organization Name:EL PASO INTERNAL MEDICINE CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALNAJJAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-544-1533
Mailing Address - Street 1:2311 N MESA ST
Mailing Address - Street 2:BLDG B
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3666
Mailing Address - Country:US
Mailing Address - Phone:915-544-1533
Mailing Address - Fax:915-544-1534
Practice Address - Street 1:2311 N MESA ST
Practice Address - Street 2:BLDG B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3666
Practice Address - Country:US
Practice Address - Phone:915-544-1533
Practice Address - Fax:915-544-1534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-10
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9981207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty