Provider Demographics
NPI:1467450981
Name:EL PASO INTERNISTS,PA
Entity Type:Organization
Organization Name:EL PASO INTERNISTS,PA
Other - Org Name:AIME D. SERNA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AIME
Authorized Official - Middle Name:D
Authorized Official - Last Name:SERNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-532-7881
Mailing Address - Street 1:100 EXECUTIVE CENTER BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1102
Mailing Address - Country:US
Mailing Address - Phone:915-532-7881
Mailing Address - Fax:915-532-0939
Practice Address - Street 1:100 EXECUTIVE CENTER BLVD STE B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1102
Practice Address - Country:US
Practice Address - Phone:915-532-7881
Practice Address - Fax:915-532-0939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2001261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH38480Medicare UPIN
TX8B8102Medicare ID - Type Unspecified