NPI 1104160225

Total Care Institute PLLC

Organisation Exclusive Provider Organization Canutillo, TX

Practice location

Address: 6894 Doniphan Dr, Canutillo, TX 79835-7800
Phone: (915) 261-6262
Mailing address: 3108 Destiny Point, El Paso, TX 79938

Authorised official

Name: Harold Morris Block
Title: Business Owner
Phone: (915) 261-6262

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence D0802 (TX)

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Registry record

NPI: 1104160225
Entity type: Organization
NPI issued: 15 Nov 2012
Record last updated: 31 Dec 2012

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.