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1100 Colina De Paz El Paso TX 79928-6064 | |
| (915) 533-7057 | |
| (915) 857-8971 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1100 Colina De Paz, El Paso, Texas |
| Authorized Official Name and Position | William David Schlesinger (CEO) |
| Authorized Official Contact | 9155337057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3607 Rivera Ave El Paso TX 79905-2415 Ph: (915) 533-7057 | 1100 Colina De Paz El Paso TX 79928-6064 Ph: (915) 533-7057 |
| NPI Number | 1376056275 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376056275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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