NPI age
17 years
Enumerated 2008-11-10
● Active Type 2 · Organization
Providence Service Corporation
Providence Service Corporation is 1 of 162 exclusive provider organization organizations in Texas.
Primary specialty
Exclusive Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wallace
State Executive Director
Last NPPES update
2008-11-10
Source: monthly bulk 2026-05
How this organization compares
Across 162 active exclusive provider organization providers in Texas.
NPI age
17 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
2211 E Missouri Ave, E243
El Paso, TX 799033807
Mailing address
2211 E Missouri Ave, E243
El Paso, TX 799033807
Authorized official
Richard Wallace, LCSW
State Executive Director
📞 5123438606
Specialties
-
Exclusive Provider Organization Primary(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or...
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.