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1551 Montana Ave. El Paso TX 79902-5668 | |
| (915) 887-3410 | |
| (915) 351-3643 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1551 Montana Ave., El Paso, Texas |
| Authorized Official Name and Position | Michelle Suzanne Aponte-pacheco (CHIEF OF REVENUE CYCLE) |
| Authorized Official Contact | 9158873410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
201 E. Main St. Suite 600 El Paso TX 79901-1385 Ph: (915) 887-3410 | 1551 Montana Ave. El Paso TX 79902-5668 Ph: (915) 887-3410 |
| NPI Number | 1235260779 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235260779 | NPI | - | NPPES |
| 127376505 | Medicaid | TX | |
| 127376504 | Medicaid | TX |
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