Ideal Opportunities Llc | |
6600 Montana Ave Ste P El Paso TX 79925-2149 | |
(915) 671-1371 | |
Not Available |
Full Name | Ideal Opportunities Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 6600 Montana Ave Ste P, El Paso, Texas |
Authorized Official Name and Position | Philippe Petrus (CO-OWNER) |
Authorized Official Contact | 9156711371 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ideal Opportunities Llc 1605 George Dieter Dr Ste 636 El Paso TX 79936-5692 Ph: (915) 671-1371 | Ideal Opportunities Llc 6600 Montana Ave Ste P El Paso TX 79925-2149 Ph: (915) 671-1371 |
NPI Number | 1407500564 |
---|---|
Provider Enumeration Date | 02/08/2022 |
Last Update Date | 06/24/2024 |
Certification Date | 06/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407500564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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