Basic Information
| Provider Information | |||||||||
| NPI: | 1164083358 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BEE WELL EL PASO PEDIATRICS PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1600 N LEE TREVINO DR STE D3 | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799365164 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9152550905 | ||||||||
| FaxNumber: | 9152550001 | ||||||||
| Practice Location | |||||||||
| Address1: | 1600 N LEE TREVINO DR STE D3 | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799365164 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9153516600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2019 | ||||||||
| LastUpdateDate: | 01/05/2021 | ||||||||
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| AuthorizedOfficialLastName: | HOWZE | ||||||||
| AuthorizedOfficialFirstName: | SHERI | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9152550905 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 01/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.