| |
4800 Alberta Ave, El Paso, TX 79905-2709 | |
(915) 783-8185 | |
(915) 783-8187 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 4800 Alberta Ave, El Paso, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740495647 | NPI | - | NPPES |
192487001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 9520, El Paso, TX 79995-9520 Ph: (915) 781-8164 | 4800 Alberta Ave, El Paso, TX 79905-2709 Ph: (915) 783-8185 |