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1302 N Stanton St El Paso TX 79902-4122 | |
| (915) 248-1277 | |
| (915) 845-9072 |
| Full Name | |
|---|---|
| Speciality | Radiology |
| Location | 1302 N Stanton St, El Paso, Texas |
| Authorized Official Name and Position | Jerod Bowen (CEO) |
| Authorized Official Contact | 8016336696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2487 S Gilbert Rd Ste 106 Gilbert AZ 85295-2802 Ph: (915) 248-1277 | 1302 N Stanton St El Paso TX 79902-4122 Ph: (915) 248-1277 |
| NPI Number | 1427511336 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 12/26/2023 |
| Medicare PECOS PAC ID | 7315280856 |
|---|---|
| Medicare Enrollment ID | O20211201002041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427511336 | NPI | - | NPPES |
| Provider Name | Arnold Saha |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1770726796 PECOS PAC ID: 2961714993 Enrollment ID: I20211201001607 |
| Provider Name | Iris Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205436839 PECOS PAC ID: 8527465590 Enrollment ID: I20211202000005 |
| Provider Name | David L Wood |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871586685 PECOS PAC ID: 3577547751 Enrollment ID: I20211202000019 |
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