Ecj Internal Medicine, Pa Dba Westside Medical Care Center | |
1501 N Mesa St Suite 2-b El Paso TX 79902-4046 | |
(915) 532-1222 | |
(915) 532-1551 |
Full Name | Ecj Internal Medicine, Pa Dba Westside Medical Care Center |
---|---|
Speciality | General Practice |
Location | 1501 N Mesa St, El Paso, Texas |
Authorized Official Name and Position | April Thomas (CREDENTIALING) |
Authorized Official Contact | 9155321222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ecj Internal Medicine, Pa Dba Westside Medical Care Center 1501 N Mesa St Suite 2-b El Paso TX 79902-4046 Ph: (915) 532-1222 | Ecj Internal Medicine, Pa Dba Westside Medical Care Center 1501 N Mesa St Suite 2-b El Paso TX 79902-4046 Ph: (915) 532-1222 |
NPI Number | 1750562211 |
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Provider Enumeration Date | 11/26/2007 |
Last Update Date | 12/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750562211 | NPI | - | NPPES |
TXB113940 | Other | TX | GROUP PTAN |
TXB113941 | Other | TX | MEDICARE PTAN |
1383903-13 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
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