Basic Information
Provider Information
NPI: 1871938647
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALORGBEY
FirstName: DOUGLAS
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4849 N MESA ST
Address2:  
City: EL PASO
State: TX
PostalCode: 799125916
CountryCode: US
TelephoneNumber: 9153516600
FaxNumber: 9153516601
Practice Location
Address1: 2260 N ZARAGOZA RD STE A118
Address2:  
City: EL PASO
State: TX
PostalCode: 79938
CountryCode: US
TelephoneNumber: 9153132944
FaxNumber: 9152496646
Other Information
ProviderEnumerationDate: 05/07/2013
LastUpdateDate: 11/21/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207Q00000XQ2877TXY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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