Provider Demographics
NPI:1295484970
Name:EL PASO ORTHOPEDIC AND SPINE INSTITUTE PLLC
Entity type:Organization
Organization Name:EL PASO ORTHOPEDIC AND SPINE INSTITUTE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:LOVATO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:915-910-1351
Mailing Address - Street 1:1125 TEXAS AVE STE B01
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-1754
Mailing Address - Country:US
Mailing Address - Phone:915-910-1351
Mailing Address - Fax:915-262-4876
Practice Address - Street 1:1125 TEXAS AVE STE B01
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-1754
Practice Address - Country:US
Practice Address - Phone:915-910-1351
Practice Address - Fax:915-262-4876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-21
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty