Provider Demographics
NPI:1467238667
Name:EL PASO ORTHOPEDIC AND SPINE INSTITUTE
Entity Type:Organization
Organization Name:EL PASO ORTHOPEDIC AND SPINE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-603-2775
Mailing Address - Street 1:984 ABE GOLDBERG DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-1717
Mailing Address - Country:US
Mailing Address - Phone:405-924-5145
Mailing Address - Fax:
Practice Address - Street 1:1600 MEDICAL CENTER DRIVE SUITE 218
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902
Practice Address - Country:US
Practice Address - Phone:915-910-1351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EL PASO ORTHOPEDIC AND SPINE INSTITUTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-04
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment