| Chez Therese Medical Center Pa | |
|
6955 N Mesa St Ste 101 El Paso TX 79912-4424 | |
| (915) 613-3010 | |
| (915) 201-1253 |
| Full Name | Chez Therese Medical Center Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6955 N Mesa St Ste 101, El Paso, Texas |
| Authorized Official Name and Position | Augustine O Bosah (PRESIDENT) |
| Authorized Official Contact | 2762742144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chez Therese Medical Center Pa 4849 N Mesa St Ste 201 El Paso TX 79912-5919 Ph: (915) 351-6600 | Chez Therese Medical Center Pa 6955 N Mesa St Ste 101 El Paso TX 79912-4424 Ph: (915) 613-3010 |
| NPI Number | 1144791351 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 11/18/2021 |
| Medicare PECOS PAC ID | 0143568568 |
|---|---|
| Medicare Enrollment ID | O20190211001582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144791351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Augustine O Bosah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588794192 PECOS PAC ID: 1759448103 Enrollment ID: I20190211001627 |
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