| Centric Physicians | |
|
7101 N Mesa St # 365 El Paso TX 79912-3613 | |
| (830) 267-4575 | |
| (830) 267-4575 |
| Full Name | Centric Physicians |
|---|---|
| Speciality | Family 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centric Physicians 113 Pleasant Valley Dr Ste 210 Boerne TX 78006-5683 Ph: (830) 267-4575 | Centric Physicians 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 |
| Medicare PECOS PAC ID | 6204197890 |
|---|---|
| Medicare Enrollment ID | O20180222000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558871368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Milton Shaw |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1346203007 PECOS PAC ID: 3678535879 Enrollment ID: I20041030000113 |
| Provider Name | Laura Givens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902957046 PECOS PAC ID: 0345290847 Enrollment ID: I20050122000161 |
| Provider Name | Delia Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194781427 PECOS PAC ID: 2264447291 Enrollment ID: I20060213000745 |
| Provider Name | Kathleen L Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477577567 PECOS PAC ID: 6709882723 Enrollment ID: I20061016000304 |
| Provider Name | Tracey Martinez-mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154498285 PECOS PAC ID: 0648370973 Enrollment ID: I20070716000147 |
| Provider Name | Jesus Aranda-cano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003106543 PECOS PAC ID: 5496932469 Enrollment ID: I20110601000194 |
| Provider Name | Tracey Cawthorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982850665 PECOS PAC ID: 1658516588 Enrollment ID: I20130326000248 |
| Provider Name | Lourdes Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659773869 PECOS PAC ID: 5092030965 Enrollment ID: I20150217001962 |
| Provider Name | Crystal Villanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366828543 PECOS PAC ID: 1759691124 Enrollment ID: I20151116000451 |
| Provider Name | Victor Manuel Armendariz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679124333 PECOS PAC ID: 8527491935 Enrollment ID: I20191125002052 |
| Provider Name | Daryl E Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477190783 PECOS PAC ID: 3375978190 Enrollment ID: I20200123002891 |
| Provider Name | Azeb Lemma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861090581 PECOS PAC ID: 2365853850 Enrollment ID: I20201207000437 |
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