Provider Demographics
NPI:1144549106
Name:ELAINE MOWINSKI BARRON, M.D, PA
Entity type:Organization
Organization Name:ELAINE MOWINSKI BARRON, M.D, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-533-3566
Mailing Address - Street 1:1100 N STANTON ST
Mailing Address - Street 2:STE 807
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4159
Mailing Address - Country:US
Mailing Address - Phone:915-533-3566
Mailing Address - Fax:915-533-6102
Practice Address - Street 1:1100 N STANTON ST
Practice Address - Street 2:STE 807
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4159
Practice Address - Country:US
Practice Address - Phone:915-533-3566
Practice Address - Fax:915-533-6102
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELAINE MOWINSKI BARRON, M.D, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5282207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty