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444 Executive Center Blvd Suite 210 El Paso TX 79902-1058 | |
| (915) 633-2071 | |
| (915) 532-1898 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 444 Executive Center Blvd, El Paso, Texas |
| Authorized Official Name and Position | Georgina Espinoza (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9156332071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
444 Executive Center Blvd Suite 210 El Paso TX 79902-1058 Ph: (915) 633-2071 | 444 Executive Center Blvd Suite 210 El Paso TX 79902-1058 Ph: (915) 633-2071 |
| NPI Number | 1588807986 |
|---|---|
| Provider Enumeration Date | 04/14/2009 |
| Last Update Date | 04/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588807986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 19476 (Texas) | Primary |
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