| Doniphan Pediatrics Pa | |
|
6621 Doniphan Dr Suite E Canutillo TX 79835-5002 | |
| (915) 642-4117 | |
| (915) 642-4113 |
| Full Name | Doniphan Pediatrics Pa |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 6621 Doniphan Dr, Canutillo, Texas |
| Authorized Official Name and Position | Valeria Laris (HUMAN RESOURCES MANAGEMENT) |
| Authorized Official Contact | 9156424117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doniphan Pediatrics Pa 6621 Doniphan Dr Suite E Canutillo TX 79835-5002 Ph: (915) 642-4117 | Doniphan Pediatrics Pa 6621 Doniphan Dr Suite E Canutillo TX 79835-5002 Ph: (915) 642-4117 |
| NPI Number | 1114385150 |
|---|---|
| Provider Enumeration Date | 02/05/2016 |
| Last Update Date | 02/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114385150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
West Valley Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6898 Doniphan Drive, Canutillo, TX 79835 Phone: 915-877-3151 Fax: 915-877-5346 | |
Canutillo Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 E. 5th Street, Canutillo, TX 79835 Phone: 915-549-7212 Fax: 915-886-4579 | |
Northwest Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7065 Second St, Canutillo, TX 79835 Phone: 915-532-9000 |