Provider Demographics
NPI:1013081207
Name:EL PASO ORTHOPAEDIC ASSOCIATES
Entity Type:Organization
Organization Name:EL PASO ORTHOPAEDIC ASSOCIATES
Other - Org Name:ORTHOPAEDIC & HAND CTR OF EL PASO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-595-2700
Mailing Address - Street 1:5823 N MESA
Mailing Address - Street 2:PMB 843
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912
Mailing Address - Country:US
Mailing Address - Phone:915-595-2700
Mailing Address - Fax:915-591-1012
Practice Address - Street 1:10201 GATEWAY BLVD W
Practice Address - Street 2:#201
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7652
Practice Address - Country:US
Practice Address - Phone:915-595-2700
Practice Address - Fax:915-591-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0440240001Medicare NSC