Provider Demographics
NPI:1871986679
Name:UNITED ACCESS
Entity type:Organization
Organization Name:UNITED ACCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:ARRIETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-585-0775
Mailing Address - Street 1:5044 DONIPHAN DR STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-1739
Mailing Address - Country:US
Mailing Address - Phone:915-585-0775
Mailing Address - Fax:915-585-0765
Practice Address - Street 1:5044 DONIPHAN DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79932-1739
Practice Address - Country:US
Practice Address - Phone:915-585-0775
Practice Address - Fax:915-585-0765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-18
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103577OtherNMEDA CERTIFICATION