Borderland Primary Care, Pa | |
2311 N Mesa St Ste J El Paso TX 79902-3575 | |
(915) 328-4793 | |
(915) 591-9215 |
Full Name | Borderland Primary Care, Pa |
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Speciality | Internal Medicine |
Location | 2311 N Mesa St Ste J, El Paso, Texas |
Authorized Official Name and Position | Claudia Knight (CONSULTANT) |
Authorized Official Contact | 9153284793 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Borderland Primary Care, Pa 2311 N Mesa St Ste J El Paso TX 79902-3575 Ph: (915) 328-4793 | Borderland Primary Care, Pa 2311 N Mesa St Ste J El Paso TX 79902-3575 Ph: (915) 328-4793 |
NPI Number | 1043852551 |
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Provider Enumeration Date | 10/16/2019 |
Last Update Date | 10/16/2019 |
Medicare PECOS PAC ID | 9638508153 |
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Medicare Enrollment ID | O20200406000021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043852551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Roberto I Gonzalez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891159349 PECOS PAC ID: 9830488329 Enrollment ID: I20200406000545 |
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