| 13650 Eastlake Pllc | |
|
13650 Eastlake Blvd Horizon City TX 79928-7473 | |
| (915) 219-4713 | |
| Not Available |
| Full Name | 13650 Eastlake Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13650 Eastlake Blvd, Horizon City, Texas |
| Authorized Official Name and Position | Casie Garcia (BILLING OPERATIONS MANAGER) |
| Authorized Official Contact | 9152194713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 13650 Eastlake Pllc 10510 Montwood Dr Ste B El Paso TX 79935-2717 Ph: (915) 219-4713 | 13650 Eastlake Pllc 13650 Eastlake Blvd Horizon City TX 79928-7473 Ph: (915) 219-4713 |
| NPI Number | 1427829589 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427829589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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