| Nicolas Baida Fragoso Md Pllc | |
|
1900 Denver Ave El Paso TX 79902-3008 | |
| (915) 671-1371 | |
| Not Available |
| Full Name | Nicolas Baida Fragoso Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1900 Denver Ave, El Paso, Texas |
| Authorized Official Name and Position | Nicolas Fragoso (OWNER) |
| Authorized Official Contact | 9156711371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolas Baida Fragoso Md Pllc 1605 George Dieter Dr Ste 636 El Paso TX 79936-5692 Ph: (915) 671-1371 | Nicolas Baida Fragoso Md Pllc 1900 Denver Ave El Paso TX 79902-3008 Ph: (915) 671-1371 |
| NPI Number | 1568187268 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/05/2022 |
| Medicare PECOS PAC ID | 8921474602 |
|---|---|
| Medicare Enrollment ID | O20221020002318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568187268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Nicolas Baida-fragoso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922214519 PECOS PAC ID: 4183601610 Enrollment ID: I20040702000259 |
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