Dejesus-Perdomo, Eduardo M
Dejesus-Perdomo, Eduardo M is an individual health care provider with primary practice located at 7812 Gateway Blvd E Ste 230, El Paso TX 79915-1802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dejesus-Perdomo, Eduardo M can be contacted via phone (915) 592-8223.Contact Information
Primary practice address
7812 Gateway Blvd E Ste 230
El Paso TX 79915-1802
Phone: (915) 592-8223
Fax: (915) 592-8328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J8988 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | J8988 | Texas |
Profile Details
| NPI number | 1639179690 |
|---|---|
| LBN Legal business name | Dejesus-Perdomo, Eduardo M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jun 24th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639179690 | NPPES |
| Texas | Other | 8U6945 | BCBS |
| Texas | Other | 110166787 | BCBS |
| Texas | MEDICAID | 111685703 | BCBS |
| Texas | Other | P00371198 | BCBS |
| Texas | MEDICAID | 111685705 | BCBS |
| Texas | MEDICAID | 52383822 | BCBS |
| Texas | MEDICAID | 111685702 | BCBS |
| Texas | MEDICAID | 111685704 | BCBS |
| Texas | Other | 8AW610 | BCBS |
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