| NPI | 1023775905 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-11-26 |
| Last Updated | 2023-03-02 |
| Authorized Official | Annette Griego CEO Phone: 9155448844 |
| Mailing Address | 5140 Montana Ave El Paso, TX 79903-4904 United States Phone: (915) 204-3809 📍 View Map |
| Primary Practice Address | 5140 Montana Ave El Paso, TX 79903-4904 United States Phone: (915) 544-8844 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | - | - |
| Yes | 208000000X – Pediatrics | - | - |
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About NPI 1023775905
St. Jude'S Family And Pediatric Clinic Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1023775905. The primary specialty listed is Pediatrics. The organization is located in El Paso, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-11-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1023775905?
NPI 1023775905 belongs to St. Jude'S Family And Pediatric Clinic Pllc, a Pediatrics in El Paso, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1023775905 active?
The current status of NPI 1023775905 in the NPPES registry is Active. The record was last updated on 2023-03-02.
What specialty is NPI 1023775905?
NPI 1023775905 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1023775905?
You can verify NPI 1023775905 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1023775905?
The primary practice address on file for NPI 1023775905 is 5140 Montana Ave, El Paso, TX 79903-4904. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1023775905 issued?
NPI 1023775905 was first issued (enumerated) on 2021-11-26. The NPPES record was last updated on 2023-03-02.
Practice Location Map
St. Jude'S Family And Pediatric Clinic Pllc is located at 5140 Montana Ave, El Paso, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as St. Jude'S Family And Pediatric Clinic Pllc. All records sourced from the CMS NPPES registry.