| Frontier Neurology Pllc | |
|
2311 N Mesa St Ste F El Paso TX 79902-3575 | |
| (915) 544-6400 | |
| (915) 544-2836 |
| Full Name | Frontier Neurology Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2311 N Mesa St Ste F, El Paso, Texas |
| Authorized Official Name and Position | Marigel Magallanes (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9155252245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Neurology Pllc 2311 N Mesa St Ste F El Paso TX 79902-3575 Ph: (915) 544-6400 | Frontier Neurology Pllc 2311 N Mesa St Ste F El Paso TX 79902-3575 Ph: (915) 544-6400 |
| NPI Number | 1942908397 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Medicare PECOS PAC ID | 9638542806 |
|---|---|
| Medicare Enrollment ID | O20230309000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942908397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Ezra Samuel Elkayam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023091477 PECOS PAC ID: 2567413404 Enrollment ID: I20210830000884 |
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