Provider Demographics
NPI:1467991885
Name:JDMD CLINICS, P. A.
Entity Type:Organization
Organization Name:JDMD CLINICS, P. A.
Other - Org Name:EL PASO ADVANCED PAIN INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ORUYOPITA
Authorized Official - Last Name:DIMOWO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-430-3439
Mailing Address - Street 1:11930 VISTA DEL SOL DR STE B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6124
Mailing Address - Country:US
Mailing Address - Phone:915-430-3439
Mailing Address - Fax:
Practice Address - Street 1:11930 VISTA DEL SOL DR STE B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6124
Practice Address - Country:US
Practice Address - Phone:915-430-3439
Practice Address - Fax:909-287-7470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4883207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty