Provider Demographics
NPI:1649596164
Name:CASHEW FAMILY MEDICAL CENTER
Entity Type:Organization
Organization Name:CASHEW FAMILY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-790-0822
Mailing Address - Street 1:9001 CASHEW DR
Mailing Address - Street 2:STE 900
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-2967
Mailing Address - Country:US
Mailing Address - Phone:915-790-0822
Mailing Address - Fax:915-790-0823
Practice Address - Street 1:9001 CASHEW DR
Practice Address - Street 2:STE 900
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-2967
Practice Address - Country:US
Practice Address - Phone:915-790-0822
Practice Address - Fax:915-790-0823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty