Eisenberg, Kenneth Lawrence

Eisenberg, Kenneth Lawrence is an individual health care provider with primary practice located at 1600 Medical Center Dr Ste 212, El Paso TX 79902-5008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Eisenberg, Kenneth Lawrence can be contacted via phone (915) 532-3977.

Contact Information

Primary practice address
1600 Medical Center Dr Ste 212 El Paso TX 79902-5008
Phone: (915) 532-3977
Fax: (915) 532-5866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G1381 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G1381 Texas

Profile Details

NPI number 1659376929
LBN Legal business name Eisenberg, Kenneth Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jan 31st, 2011 - about 15 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659376929 NPPES
Texas MEDICAID 133925105

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