| Dept Of Public Health-rawlings Dental Clinic | |
|
3301 Pera Ave El Paso TX 79905-2313 | |
| (915) 212-8000 | |
| (915) 212-0413 |
| Full Name | Dept Of Public Health-rawlings Dental Clinic |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 3301 Pera Ave, El Paso, Texas |
| Authorized Official Name and Position | Robert Cortinas (CFO) |
| Authorized Official Contact | 9152121067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dept Of Public Health-rawlings Dental Clinic 5115 El Paso Dr Ste B El Paso TX 79905-2818 Ph: (915) 212-7895 | Dept Of Public Health-rawlings Dental Clinic 3301 Pera Ave El Paso TX 79905-2313 Ph: (915) 212-8000 |
| NPI Number | 1225104292 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225104292 | NPI | - | NPPES |
| 1209785-04 | Medicaid | TX | |
| 120978504 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 14305 (Texas) | Secondary |
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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