Provider Demographics
NPI:1215051545
Name:NEPHROLOGY ASSOCIATES OF EL PASO
Entity type:Organization
Organization Name:NEPHROLOGY ASSOCIATES OF EL PASO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFONSO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-532-2693
Mailing Address - Street 1:1527 BROWN ST STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4737
Mailing Address - Country:US
Mailing Address - Phone:915-532-2693
Mailing Address - Fax:915-532-8985
Practice Address - Street 1:1527 BROWN ST STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4737
Practice Address - Country:US
Practice Address - Phone:915-532-2693
Practice Address - Fax:915-532-8985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9573207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX081588801Medicaid
TXC14404Medicare UPIN
TX081588801Medicaid