NPI 1003012576

William Beaumont Army Medical Center

Organisation Military/U.S. Coast Guard Outpatient Clinic/Center El Paso, TX

Practice location

Address: 5005 N Piedras St Building 7777, El Paso, TX 79920-5001
Phone: (915) 568-1101
Mailing address: 5005 N Piedras St Attn Treasurer's Office, El Paso, TX 79920-5001

Authorised official

Name: Jose Cruz-Melendez
Title: Ubo Manager
Phone: (915) 742-8291

Registered specialties

Military/U.S. Coast Guard Outpatient Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1100X

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Registry record

NPI: 1003012576
Entity type: Organization
NPI issued: 22 Jun 2007
Record last updated: 7 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.