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7101 N Mesa St # 365 El Paso TX 79912-3613 | |
| (830) 267-4575 | |
| (830) 267-4575 |
| Full Name | |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 7101 N Mesa St # 365, El Paso, Texas |
| Authorized Official Name and Position | Laura Givens (CEO) |
| Authorized Official Contact | 8302674575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
113 Pleasant Valley Dr Ste 210 Boerne TX 78006-5683 Ph: (830) 267-4575 | 7101 N Mesa St # 365 El Paso TX 79912-3613 Ph: (830) 267-4575 |
| NPI Number | 1558871368 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 08/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558871368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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