| Associated Behavioral And Trauma Specialties, Llc | |
|
9434 Viscount Blvd Ste 234 El Paso TX 79925-7053 | |
| (915) 637-1159 | |
| Not Available |
| Full Name | Associated Behavioral And Trauma Specialties, Llc |
|---|---|
| Speciality | Counselor |
| Location | 9434 Viscount Blvd Ste 234, El Paso, Texas |
| Authorized Official Name and Position | Zul N Estrada (CFO) |
| Authorized Official Contact | 9157990747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Behavioral And Trauma Specialties, Llc 9440 Viscount Blvd Ste 200 El Paso TX 79925-7054 Ph: (915) 799-0747 | Associated Behavioral And Trauma Specialties, Llc 9434 Viscount Blvd Ste 234 El Paso TX 79925-7053 Ph: (915) 637-1159 |
| NPI Number | 1154740934 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 8820530330 |
|---|---|
| Medicare Enrollment ID | O20240611003474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154740934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Roger A Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811485154 PECOS PAC ID: 9931531308 Enrollment ID: I20191125000162 |
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