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PROVIDENCE MEDICAL PARTNERS
NPI 1689031387
Pediatrics in El Paso, TX

Active since January 26, 2016CLIA Certified · 2 labs
9870 GATEWAY BLVD N, STE. A, EL PASO, TX 79924(915) 881-3368(915) 751-0464 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Medical Partners NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE MEDICAL PARTNERS (NPI 1689031387) is a healthcare organization registered as a pediatrics in El Paso, Texas and active in the NPI registry since January 2016. The organization holds 2 active CLIA laboratory certificates and lists Timothy Adams, Svp Regional Operations, Tenet, as its authorized official.

NPPES Registry Identity

NPI1689031387
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGREATER DALLAS HEALTHCARE ENTERPRISES
Location Address9870 GATEWAY BLVD N, STE. AEl Paso, TX 79924-4425
Mailing AddressPo Box 840711Dallas, TX 75284-0711 · (915) 881-3368 · Fax (915) 751-0464
Phone(915) 881-3368
Fax(915) 751-0464
Organization SubpartNo
Authorized OfficialTimothy AdamsSvp Regional Operations, Tenet · (469) 893-2563
Enumeration DateJanuary 26, 2016
Last NPPES UpdateJune 8, 2016
✔ NPI 1689031387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9870 GATEWAY BLVD N, El Paso, TX 79924
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Other Names 1

Doing Business AsProvidence Medical Partners

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0972927

Providence Medical Partners Teen Center Bhs Physicans Network Inc · El Paso, TX
Active · expires Apr 19, 2028
CLIA Number45D0972927
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorJose L. Zamudio
Laboratory Phone(915) 755-8336
Laboratory LocationProvidence Medical Partners Teen Center Bhs Physicans Network Inc4717 Hondo Pass Dr Suite A, El Paso, TX 79924
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2160873

Providence Medical Partners · El Paso, TX
Active · expires Jan 21, 2027
CLIA Number45D2160873
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorJose Ruben Ayala
Laboratory Phone(915) 271-4635
Laboratory LocationProvidence Medical Partners9870 Gateway N Blvd Suite A, El Paso, TX 79924
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HELENA HELGA LIPTAKOVA M.D.
Pediatrics
9870 GATEWAY BLVD N, STE B7
EL PASO, TX 79924
El Paso County (915) 751-5245
TROY K BELCHER PT, DPT
Physical Therapist
9870 GATEWAY BLVD N
EL PASO, TX 79924
El Paso County (915) 500-6605
SHIRLINA LIA ALCALA N.P.
Nurse Practitioner (Family)
9870 GATEWAY BLVD N, SUITE B7
EL PASO, TX 79924
El Paso County (915) 751-5245
JESSICA RODRIGUEZ P.T.
Physical Therapist
9870 GATEWAY BLVD N, STE. B7
EL PASO, TX 79924
El Paso County (915) 751-5245
CHARLES WILLIAM HAEGELE OD
Optometrist
9870 GATEWAY BLVD N, SUITE B-4
EL PASO, TX 79924
El Paso County (915) 751-0264
HELENA H. LIPTAKOVA, MD., PLLC
Pediatrics
9870 GATEWAY BLVD N, SUITE B - 7
EL PASO, TX 79924
El Paso County (915) 751-5245
KATHRYN ANNE REVELES P.N.P.
Nurse Practitioner (Pediatrics)
9870 GATEWAY BLVD N, STE B7
EL PASO, TX 79924
El Paso County (915) 751-5245
DEMPSEY D GORDON DO
Family Medicine
9870 GATEWAY BLVD N, STE B-7
EL PASO, TX 79924
El Paso County (915) 751-5245

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greater Dallas Healthcare Enterprises's NPI number?

The NPI number for Greater Dallas Healthcare Enterprises is 1689031387. It was assigned to this organization in the NPPES registry on January 26, 2016. The provider is doing business as Providence Medical Partners.

Where is Greater Dallas Healthcare Enterprises located?

Greater Dallas Healthcare Enterprises is located at 9870 Gateway Blvd N Ste. A, El Paso, TX 79924. The listed phone number is (915) 881-3368.

What is Greater Dallas Healthcare Enterprises's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Greater Dallas Healthcare Enterprises hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Greater Dallas Healthcare Enterprises was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.