| The Hills Psychiatry Pllc | |
|
1445 Bessemer Dr Ste E El Paso TX 79936-5909 | |
| (915) 540-6673 | |
| (915) 232-9873 |
| Full Name | The Hills Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1445 Bessemer Dr Ste E, El Paso, Texas |
| Authorized Official Name and Position | Tolulope Shada (OWNER) |
| Authorized Official Contact | 9159104661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hills Psychiatry Pllc 1445 Bessemer Dr Ste E El Paso TX 79936-5909 Ph: (915) 540-6673 | The Hills Psychiatry Pllc 1445 Bessemer Dr Ste E El Paso TX 79936-5909 Ph: (915) 540-6673 |
| NPI Number | 1700667649 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Medicare PECOS PAC ID | 6901252337 |
|---|---|
| Medicare Enrollment ID | O20231020003089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700667649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Tolulope Shada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841788619 PECOS PAC ID: 1254785488 Enrollment ID: I20231020003096 |
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