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14964 Greg Dr El Paso TX 79938-9213 | |
(915) 465-1191 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 14964 Greg Dr, El Paso, Texas |
Authorized Official Name and Position | William David Schlesinger (CEO) |
Authorized Official Contact | 9155337057 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3607 Rivera Ave El Paso TX 79905-2415 Ph: (915) 465-1191 | 14964 Greg Dr El Paso TX 79938-9213 Ph: (915) 465-1191 |
NPI Number | 1639810740 |
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Provider Enumeration Date | 04/05/2022 |
Last Update Date | 02/27/2023 |
Medicare PECOS PAC ID | 4486614765 |
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Medicare Enrollment ID | O20230213001726 |
Identifier | Type | State | Issuer |
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1639810740 | NPI | - | NPPES |
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