Provider Demographics
NPI:1477722676
Name:PHILLIP MCELVAINE MD PA
Entity Type:Organization
Organization Name:PHILLIP MCELVAINE MD PA
Other - Org Name:EL PASO EMERGENCY PHYSICIANS GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELVAINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-774-8735
Mailing Address - Street 1:5301 ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2805
Mailing Address - Country:US
Mailing Address - Phone:915-774-8735
Mailing Address - Fax:915-778-3973
Practice Address - Street 1:5301 ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2805
Practice Address - Country:US
Practice Address - Phone:915-774-8735
Practice Address - Fax:915-778-3973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty