Eastlake High School | |
13000 Emerald Pass Ave El Paso TX 79928 | |
(915) 533-7057 | |
(915) 857-8971 |
Full Name | Eastlake High School |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 13000 Emerald Pass Ave, 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 |
---|---|
Eastlake High School 3607 Rivera Ave El Paso TX 79905-2415 Ph: (915) 553-7057 | Eastlake High School 13000 Emerald Pass Ave El Paso TX 79928 Ph: (915) 533-7057 |
NPI Number | 1285147173 |
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Provider Enumeration Date | 11/14/2017 |
Last Update Date | 03/25/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285147173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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