| |
4712 Woodrow Bean Ste A El Paso TX 79924-4432 | |
(915) 751-1133 | |
(915) 751-1125 |
Full Name | |
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Speciality | Psychiatry & Neurology |
Location | 4712 Woodrow Bean Ste A, El Paso, Texas |
Authorized Official Name and Position | Kelly Rae Johnson (CREDENTIALING DIRECTOR) |
Authorized Official Contact | 7853206616 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4712 Woodrow Bean Ste A El Paso TX 79924-4432 Ph: (915) 751-1133 | 4712 Woodrow Bean Ste A El Paso TX 79924-4432 Ph: (915) 751-1133 |
NPI Number | 1942875372 |
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Provider Enumeration Date | 05/27/2021 |
Last Update Date | 11/20/2024 |
Certification Date | 11/20/2024 |
Medicare PECOS PAC ID | 7113379975 |
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Medicare Enrollment ID | O20240117001474 |
Identifier | Type | State | Issuer |
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1942875372 | NPI | - | NPPES |
Provider Name | Caleb Jordan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619361904 PECOS PAC ID: 2567771249 Enrollment ID: I20171106002287 |
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