Lilia Fabila, Pllc | |
4150 Rio Bravo St Ste 225 El Paso TX 79902-1099 | |
(915) 667-0436 | |
Not Available |
Full Name | Lilia Fabila, Pllc |
---|---|
Speciality | Counselor |
Location | 4150 Rio Bravo St Ste 225, El Paso, Texas |
Authorized Official Name and Position | Lilia Fabila (OWNER) |
Authorized Official Contact | 9156670436 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lilia Fabila, Pllc 4150 Rio Bravo St Ste 225 El Paso TX 79902-1099 Ph: (915) 667-0436 | Lilia Fabila, Pllc 4150 Rio Bravo St Ste 225 El Paso TX 79902-1099 Ph: (915) 667-0436 |
NPI Number | 1841943008 |
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Provider Enumeration Date | 01/28/2022 |
Last Update Date | 01/28/2022 |
Certification Date | 01/28/2022 |
Medicare PECOS PAC ID | 2163964404 |
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Medicare Enrollment ID | O20240603001120 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841943008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Lilia Fabila |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740839083 PECOS PAC ID: 3072055318 Enrollment ID: I20240603001208 |
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