Community Medical Clinic Pa | |
3130 N Lee Trevino Dr Ste 114 El Paso TX 79936 | |
(915) 706-4065 | |
(915) 706-7064 |
Full Name | Community Medical Clinic Pa |
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Speciality | Family Medicine |
Location | 3130 N Lee Trevino Dr Ste 114, El Paso, Texas |
Authorized Official Name and Position | Hector Lopez (OWNER) |
Authorized Official Contact | 9157064065 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Medical Clinic Pa 3130 N Lee Trevino Dr Ste 114 El Paso TX 79936-2179 Ph: (915) 706-4065 | Community Medical Clinic Pa 3130 N Lee Trevino Dr Ste 114 El Paso TX 79936 Ph: (915) 706-4065 |
NPI Number | 1154638690 |
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Provider Enumeration Date | 09/03/2010 |
Last Update Date | 05/31/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154638690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F9752 (Texas) | Primary |
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