Provider Demographics
NPI:1093088494
Name:THE COUNTY OF EL PASO TEXAS
Entity type:Organization
Organization Name:THE COUNTY OF EL PASO TEXAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COUNTY JUDGE
Authorized Official - Prefix:MS
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:VOGT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-546-2098
Mailing Address - Street 1:6314 DELTA DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-5406
Mailing Address - Country:US
Mailing Address - Phone:915-775-2701
Mailing Address - Fax:
Practice Address - Street 1:6314 DELTA DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-5406
Practice Address - Country:US
Practice Address - Phone:915-775-2701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE COUNTY OF EL PASO TEXAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-15
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X, 332U00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Yes332U00000XSuppliersHome Delivered MealsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3326621-01OtherMEDICAID CPW
TX309474001Medicaid