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2601 E Yandell Dr Ste 118 El Paso TX 79903-3743 | |
(915) 260-8113 | |
(833) 428-3821 |
Full Name | |
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Speciality | Counselor |
Location | 2601 E Yandell Dr Ste 118, El Paso, Texas |
Authorized Official Name and Position | Veronica Lugo (CO-OWNER) |
Authorized Official Contact | 9152099423 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2601 E Yandell Dr Ste 118 El Paso TX 79903-3743 Ph: (915) 309-5331 | 2601 E Yandell Dr Ste 118 El Paso TX 79903-3743 Ph: (915) 260-8113 |
NPI Number | 1215784616 |
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Provider Enumeration Date | 05/02/2024 |
Last Update Date | 01/07/2025 |
Certification Date | 01/07/2025 |
Medicare PECOS PAC ID | 1759828452 |
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Medicare Enrollment ID | O20240730004379 |
Identifier | Type | State | Issuer |
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1215784616 | NPI | - | NPPES |
Provider Name | Marcos E Pena |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235753377 PECOS PAC ID: 7214385673 Enrollment ID: I20231122002462 |
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