Provider Demographics
NPI:1578837308
Name:PATIENT CARE ASSOCIATES PA
Entity Type:Organization
Organization Name:PATIENT CARE ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:THEODORE
Authorized Official - Last Name:STEANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-597-7137
Mailing Address - Street 1:5959 GATEWAY BLVD W
Mailing Address - Street 2:SUITE 120
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3331
Mailing Address - Country:US
Mailing Address - Phone:915-779-1716
Mailing Address - Fax:915-771-6496
Practice Address - Street 1:3800 N MESA ST
Practice Address - Street 2:SUITE A-2 318
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1538
Practice Address - Country:US
Practice Address - Phone:915-779-1716
Practice Address - Fax:915-771-6496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-24
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty