Organization · Type 2 NPI

Texastech University Health Sciences Center

Trauma Surgery Physician · El Paso, TX

NPI number 1104031004 Active

Practice location

4801 Alberta Ave
El Paso, TX 79905-2709

Fax (915) 545-9799

Mailing address

PO Box 9520
El Paso, TX 79995-9520

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Plastic Surgery Physician 208200000XNone listed
Surgery Physician 208600000XNone listed
Surgical Critical Care Physician 2086S0102XNone listed
Pediatric Surgery Physician 2086S0120XNone listed
Plastic and Reconstructive Surgery Physician 2086S0122XNone listed
Trauma Surgery Physician Primary 2086S0127XNone listed

Trauma Surgery Physician: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification …

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About NPI 1104031004

Texastech University Health Sciences Center's National Provider Identifier is 1104031004, issued on May 14, 2007. The primary taxonomy on file is Trauma Surgery Physician (2086S0127X), and the practice location is in El Paso, TX. The record was last updated on Sep 11, 2025.