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1390 Northwestern Dr El Paso TX 79912-8003 | |
(915) 209-4513 | |
Not Available |
Full Name | |
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Speciality | Psychiatric Hospital |
Location | 1390 Northwestern Dr, El Paso, Texas |
Authorized Official Name and Position | Brian P. Farley (VP AND SECRETARY) |
Authorized Official Contact | 6158616000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: (615) 861-7566 | 1390 Northwestern Dr El Paso TX 79912-8003 Ph: (915) 209-4513 |
NPI Number | 1346724879 |
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Provider Enumeration Date | 09/20/2018 |
Last Update Date | 06/25/2024 |
Certification Date | 06/25/2024 |
Medicare PECOS PAC ID | 1153668348 |
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Medicare Enrollment ID | O20190128000750 |
Identifier | Type | State | Issuer |
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1346724879 | NPI | - | NPPES |
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