| Javier Carrillo, Phd. Pllc | |
|
2300 George Dieter Dr El Paso TX 79936-3963 | |
| (915) 491-0707 | |
| Not Available |
| Full Name | Javier Carrillo, Phd. Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2300 George Dieter Dr, El Paso, Texas |
| Authorized Official Name and Position | Javier Carrillo (OWNER/PROVIDER) |
| Authorized Official Contact | 9154910707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Javier Carrillo, Phd. Pllc 2300 George Dieter Dr El Paso TX 79936-3963 Ph: (915) 491-0707 | Javier Carrillo, Phd. Pllc 2300 George Dieter Dr El Paso TX 79936-3963 Ph: (915) 491-0707 |
| NPI Number | 1407467780 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 09/01/2020 |
| Certification Date | 09/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407467780 | NPI | - | NPPES |
| 24690 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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