Ed Jose Borrego, Md, Pa | |
5750 N Mesa St El Paso TX 79912-5427 | |
(915) 842-9585 | |
(915) 842-9581 |
Full Name | Ed Jose Borrego, Md, Pa |
---|---|
Speciality | Psychiatry & Neurology |
Location | 5750 N Mesa St, El Paso, Texas |
Authorized Official Name and Position | Ed Jose Borrego (PRESIDENT) |
Authorized Official Contact | 9158429585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ed Jose Borrego, Md, Pa 5750 N Mesa St El Paso TX 79912-5427 Ph: (915) 842-9585 | Ed Jose Borrego, Md, Pa 5750 N Mesa St El Paso TX 79912-5427 Ph: (915) 842-9585 |
NPI Number | 1235247750 |
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Provider Enumeration Date | 08/25/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 8729010855 |
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Medicare Enrollment ID | O20050908001147 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235247750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | M0670 (Texas) | Primary |
Provider Name | Ed Jose Borrego |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356342075 PECOS PAC ID: 6800828930 Enrollment ID: I20050909000398 |
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