| 1st Med, Pllc | |
|
9411 Dyer St Ste B El Paso TX 79924-6407 | |
| (915) 250-0007 | |
| Not Available |
| Full Name | 1st Med, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 9411 Dyer St Ste B, El Paso, Texas |
| Authorized Official Name and Position | Caleb Janosz (PRESIDENT) |
| Authorized Official Contact | 9152500007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Med, Pllc 9411 Dyer St Ste B El Paso TX 79924-6407 Ph: (915) 250-0007 | 1st Med, Pllc 9411 Dyer St Ste B El Paso TX 79924-6407 Ph: (915) 250-0007 |
| NPI Number | 1780315424 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 07/15/2022 |
| Medicare PECOS PAC ID | 2567848245 |
|---|---|
| Medicare Enrollment ID | O20221004000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780315424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Caleb J Janosz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447606181 PECOS PAC ID: 8022300961 Enrollment ID: I20190823000205 |
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