Provider Demographics
NPI:1013105865
Name:EDUARDO COVARRUBIAS M.D.; P.A.
Entity type:Organization
Organization Name:EDUARDO COVARRUBIAS M.D.; P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:COVARRUBIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-590-4555
Mailing Address - Street 1:1570 LOMALAND DR STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-4200
Mailing Address - Country:US
Mailing Address - Phone:915-590-4555
Mailing Address - Fax:915-590-4718
Practice Address - Street 1:1570 LOMALAND DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-4200
Practice Address - Country:US
Practice Address - Phone:915-590-4555
Practice Address - Fax:915-590-4718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9866208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty