Provider Demographics
NPI:1356726863
Name:EL PASO HYPERBARIC CENTER, INC.
Entity type:Organization
Organization Name:EL PASO HYPERBARIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZARIO
Authorized Official - Suffix:
Authorized Official - Credentials:HYPERBARIC TECH
Authorized Official - Phone:915-329-8487
Mailing Address - Street 1:1715 SAUL KLEINFELD DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-3743
Mailing Address - Country:US
Mailing Address - Phone:915-329-8487
Mailing Address - Fax:
Practice Address - Street 1:1715 SAUL KLEINFELD DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-3743
Practice Address - Country:US
Practice Address - Phone:915-329-8487
Practice Address - Fax:915-351-9887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-26
Last Update Date:2015-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32056624136261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty